Provider Demographics
NPI:1821262395
Name:NGUYEN, HUY DINH
Entity Type:Individual
Prefix:
First Name:HUY
Middle Name:DINH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 SPEARS RD,
Mailing Address - Street 2:STE 220
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-1317
Mailing Address - Country:US
Mailing Address - Phone:281-866-0822
Mailing Address - Fax:281-866-0825
Practice Address - Street 1:2200 SPEARS RD,
Practice Address - Street 2:STE 220
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-1317
Practice Address - Country:US
Practice Address - Phone:281-866-0822
Practice Address - Fax:281-866-0825
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22837122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist