Provider Demographics
NPI:1467466599
Name:BUI, NANCY HUYEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:HUYEN
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 1:4300 MATLOCK RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-5258
Mailing Address - Country:US
Mailing Address - Phone:817-467-9594
Mailing Address - Fax:817-419-0529
Practice Address - Street 1:4300 MATLOCK RD
Practice Address - Street 2:SUITE 120
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-5258
Practice Address - Country:US
Practice Address - Phone:817-467-9594
Practice Address - Fax:817-419-0529
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX189261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice