Provider Demographics
NPI:1306001136
Name:HUANG, YUEHUA EDWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:YUEHUA
Middle Name:EDWARD
Last Name:HUANG
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 1:737 68TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-5622
Mailing Address - Country:US
Mailing Address - Phone:718-921-1188
Mailing Address - Fax:718-921-1198
Practice Address - Street 1:6402 8TH AVE STE 304
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-4720
Practice Address - Country:US
Practice Address - Phone:718-921-1188
Practice Address - Fax:718-921-1198
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0539361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice