Provider Demographics
NPI:1326257445
Name:ADRIAN HUANG D.M.D., P.L.L.C.
Entity Type:Organization
Organization Name:ADRIAN HUANG D.M.D., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-917-8400
Mailing Address - Street 1:655 S DOBSON RD
Mailing Address - Street 2:BUILDING B SUITE 211
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5667
Mailing Address - Country:US
Mailing Address - Phone:480-917-8400
Mailing Address - Fax:480-726-8056
Practice Address - Street 1:655 S DOBSON RD
Practice Address - Street 2:BUILDING B SUITE 211
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5667
Practice Address - Country:US
Practice Address - Phone:480-917-8400
Practice Address - Fax:480-726-8056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ570865OtherUNITED CONCORDIA
AZ37660OtherUNITED HEALTHCARE
AZAZ0409380OtherBLUE CROSS BLUE SHIELD