Provider Demographics
NPI:1326301813
Name:HUYNH, THE HIEP T (DDS)
Entity Type:Individual
Prefix:DR
First Name:THE HIEP
Middle Name:T
Last Name:HUYNH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:HIEP T
Other - Middle Name:T
Other - Last Name:HUYNH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:12148 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-3805
Mailing Address - Country:US
Mailing Address - Phone:913-492-9660
Mailing Address - Fax:
Practice Address - Street 1:2150 NW SOUTH OUTER RD
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-6425
Practice Address - Country:US
Practice Address - Phone:816-227-6588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS609321223G0001X
MO20110356101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice