Provider Demographics
NPI:1659007482
Name:HUYNH, TOAN TRUNG (DMD)
Entity Type:Individual
Prefix:DR
First Name:TOAN
Middle Name:TRUNG
Last Name:HUYNH
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 1:7119 SPRING ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3814
Mailing Address - Country:US
Mailing Address - Phone:832-955-7879
Mailing Address - Fax:
Practice Address - Street 1:3500 GARTH RD STE 170
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3848
Practice Address - Country:US
Practice Address - Phone:346-666-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38798122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist