Provider Demographics
NPI:1700371143
Name:H-TOWN DENTAL ASSOCIATES PLLC
Entity Type:Organization
Organization Name:H-TOWN DENTAL ASSOCIATES PLLC
Other - Org Name:ALMEDA DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THU
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-951-9408
Mailing Address - Street 1:110 BAGBY ST UNIT 57
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-1562
Mailing Address - Country:US
Mailing Address - Phone:717-951-9408
Mailing Address - Fax:
Practice Address - Street 1:9990 ALMEDA GENOA RD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075-2416
Practice Address - Country:US
Practice Address - Phone:717-951-9408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31827122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty