Provider Demographics
NPI:1275037525
Name:HUQUE, SAMIN IRFUN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAMIN
Middle Name:IRFUN
Last Name:HUQUE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 ENTRADA TRANQUILA WAY
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-6840
Mailing Address - Country:US
Mailing Address - Phone:832-576-0332
Mailing Address - Fax:
Practice Address - Street 1:9070 RESEARCH BLVD STE 205
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-7047
Practice Address - Country:US
Practice Address - Phone:512-351-4080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX341271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program