Provider Demographics
NPI:1831316058
Name:811 TOOTH CARE CORPORATION
Entity Type:Organization
Organization Name:811 TOOTH CARE CORPORATION
Other - Org Name:FAMILY DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LINH
Authorized Official - Middle Name:HUU
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-376-9068
Mailing Address - Street 1:16116 STUEBNER AIRLINE RD
Mailing Address - Street 2:SUITE #5
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7327
Mailing Address - Country:US
Mailing Address - Phone:281-376-9068
Mailing Address - Fax:281-251-4350
Practice Address - Street 1:16116 STUEBNER AIRLINE RD
Practice Address - Street 2:SUITE #5
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7327
Practice Address - Country:US
Practice Address - Phone:281-376-9068
Practice Address - Fax:281-251-4350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21231122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty