Provider Demographics
NPI:1568479905
Name:BUI, ANTHONY TUONG (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:TUONG
Last Name:BUI
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 1:7426 WILES RD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2066
Mailing Address - Country:US
Mailing Address - Phone:954-255-3500
Mailing Address - Fax:954-255-3515
Practice Address - Street 1:7426 WILES RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-2066
Practice Address - Country:US
Practice Address - Phone:954-255-3500
Practice Address - Fax:954-255-3515
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN151121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice