Provider Demographics
NPI:1588032395
Name:HU, XINGXUE (DMD)
Entity Type:Individual
Prefix:DR
First Name:XINGXUE
Middle Name:
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 1:1725 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-5306
Mailing Address - Country:US
Mailing Address - Phone:781-863-5577
Mailing Address - Fax:781-372-1010
Practice Address - Street 1:1725 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-5306
Practice Address - Country:US
Practice Address - Phone:781-863-5577
Practice Address - Fax:781-372-1010
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-10
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18570611223G0001X, 1223S0112X, 1223X2210X, 208D00000X, 125Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes125Q00000XDental ProvidersOral Medicinist
No1223G0001XDental ProvidersDentistGeneral Practice
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223X2210XDental ProvidersDentistOrofacial Pain
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty