Provider Demographics
NPI:1770258055
Name:HELLOFACE LLC
Entity Type:Organization
Organization Name:HELLOFACE LLC
Other - Org Name:NW DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:VINH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-681-6100
Mailing Address - Street 1:7670 KATY FWY # 30
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2254
Mailing Address - Country:US
Mailing Address - Phone:713-681-6100
Mailing Address - Fax:281-929-0410
Practice Address - Street 1:7670 KATY FWY # 30
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2254
Practice Address - Country:US
Practice Address - Phone:713-681-6100
Practice Address - Fax:281-929-0410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2C8777OtherPROVIDER TRANSACTION ACCESS NUMBER (PTAN)