Provider Demographics
NPI:1477275238
Name:HU, BYRON BOYANG (DMD)
Entity Type:Individual
Prefix:DR
First Name:BYRON
Middle Name:BOYANG
Last Name:HU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 CHESTNUT ST APT 910
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-3125
Mailing Address - Country:US
Mailing Address - Phone:352-665-0027
Mailing Address - Fax:
Practice Address - Street 1:1954 FRUITVILLE PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-3916
Practice Address - Country:US
Practice Address - Phone:717-394-4155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-16
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS043903122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist