Provider Demographics
NPI:1568649879
Name:NGUYEN & HUYNH, DDS, PA
Entity Type:Organization
Organization Name:NGUYEN & HUYNH, DDS, PA
Other - Org Name:NGUYEN, HUYNH & HUYNH, DDS, PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THAO
Authorized Official - Middle Name:HIEN
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-828-8889
Mailing Address - Street 1:4058 LITTLE YORK
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77093
Mailing Address - Country:US
Mailing Address - Phone:713-742-8887
Mailing Address - Fax:713-742-9080
Practice Address - Street 1:4058 LITTLE YORK
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77093
Practice Address - Country:US
Practice Address - Phone:713-742-8887
Practice Address - Fax:713-742-9080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202281223G0001X
1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133326210Medicaid