Provider Demographics
NPI:1760489298
Name:NGUYEN, HUONG T (DMD)
Entity Type:Individual
Prefix:MRS
First Name:HUONG
Middle Name:T
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10515 BELLAIRE BLVD
Mailing Address - Street 2:STE K
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5235
Mailing Address - Country:US
Mailing Address - Phone:281-495-4444
Mailing Address - Fax:281-530-5382
Practice Address - Street 1:10515 BELLAIRE BLVD
Practice Address - Street 2:STE K
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5235
Practice Address - Country:US
Practice Address - Phone:281-495-4444
Practice Address - Fax:281-530-5382
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-30
Last Update Date:2007-07-08
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-03-23
Provider Licenses
StateLicense IDTaxonomies
TX184241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice