Provider Demographics
NPI:1275716862
Name:HUY P NGUYEN DDS PA
Entity Type:Organization
Organization Name:HUY P NGUYEN DDS PA
Other - Org Name:TOWN SQUARE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HUY
Authorized Official - Middle Name:PHAN
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-534-8800
Mailing Address - Street 1:916 HARRIS AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77506-4708
Mailing Address - Country:US
Mailing Address - Phone:713-534-8800
Mailing Address - Fax:713-534-8800
Practice Address - Street 1:916 HARRIS AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77506-4708
Practice Address - Country:US
Practice Address - Phone:713-534-8800
Practice Address - Fax:713-534-8800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1629020060OtherNPI