Provider Demographics
NPI:1467457333
Name:HU, OCEAN H (DDS)
Entity Type:Individual
Prefix:DR
First Name:OCEAN
Middle Name:H
Last Name:HU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:HAI-YANG
Other - Middle Name:
Other - Last Name:HU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3025 MCHENRY AVE
Mailing Address - Street 2:SUITE N
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-1466
Mailing Address - Country:US
Mailing Address - Phone:209-527-3990
Mailing Address - Fax:209-524-9922
Practice Address - Street 1:3025 MCHENRY AVE
Practice Address - Street 2:SUITE N
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-1466
Practice Address - Country:US
Practice Address - Phone:209-527-3990
Practice Address - Fax:209-524-9922
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52993122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist