Provider Demographics
NPI:1467533075
Name:HUYNH, TUYET THI ANH (DDS)
Entity Type:Individual
Prefix:DR
First Name:TUYET
Middle Name:THI ANH
Last Name:HUYNH
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 1:810 W ARAPAHO RD
Mailing Address - Street 2:SUITE 96
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4063
Mailing Address - Country:US
Mailing Address - Phone:972-238-9999
Mailing Address - Fax:972-238-9974
Practice Address - Street 1:810 W ARAPAHO RD
Practice Address - Street 2:SUITE 96
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4063
Practice Address - Country:US
Practice Address - Phone:972-238-9999
Practice Address - Fax:972-238-9974
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168750101Medicaid