Provider Demographics
NPI:1043396906
Name:BUI, QUANG DANG MINH (DMD)
Entity Type:Individual
Prefix:DR
First Name:QUANG
Middle Name:DANG MINH
Last Name:BUI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5980 S JONES BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118
Mailing Address - Country:US
Mailing Address - Phone:702-362-5437
Mailing Address - Fax:702-631-5437
Practice Address - Street 1:5980 S JONES BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118
Practice Address - Country:US
Practice Address - Phone:702-362-5437
Practice Address - Fax:702-631-5437
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV37231223P0221X
NVS6-521223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry