Provider Demographics
NPI:1275792509
Name:BUI, KATHY (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHY
Middle Name:
Last Name:BUI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6624 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7422
Mailing Address - Country:US
Mailing Address - Phone:214-244-6287
Mailing Address - Fax:469-715-6608
Practice Address - Street 1:26745 E UNIVERSITY DRIVE STE 110
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227
Practice Address - Country:US
Practice Address - Phone:469-715-6622
Practice Address - Fax:469-715-6608
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX238611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice