Provider Demographics
NPI:1760516967
Name:BUI, HUONG (DDS)
Entity Type:Individual
Prefix:
First Name:HUONG
Middle Name:
Last Name:BUI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2336 ABBEY LN
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-6047
Mailing Address - Country:US
Mailing Address - Phone:717-901-7045
Mailing Address - Fax:717-901-7050
Practice Address - Street 1:4940 LINGLESTOWN RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-9515
Practice Address - Country:US
Practice Address - Phone:717-901-7045
Practice Address - Fax:717-901-7050
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-031101-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice