Provider Demographics
NPI:1609089978
Name:HUANG, SCOTT SHIH-HAO (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:SHIH-HAO
Last Name:HUANG
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:DR
Other - First Name:SHIH-HAO
Other - Middle Name:
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS, MS
Mailing Address - Street 1:5418 HIGHWAY 6
Mailing Address - Street 2:SUITE 215
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5418 HIGHWAY 6
Practice Address - Street 2:SUITE 215
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459
Practice Address - Country:US
Practice Address - Phone:281-616-7846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX229641223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX182135701Medicaid