Provider Demographics
NPI:1891745741
Name:HUYNH, ANDY HIEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANDY
Middle Name:HIEN
Last Name:HUYNH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4355 SPRING MOUNTAIN RD
Mailing Address - Street 2:SUITE #204
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-8786
Mailing Address - Country:US
Mailing Address - Phone:702-876-0808
Mailing Address - Fax:702-876-0818
Practice Address - Street 1:4355 SPRING MOUNTAIN RD
Practice Address - Street 2:SUITE #204
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8786
Practice Address - Country:US
Practice Address - Phone:702-876-0808
Practice Address - Fax:702-876-0818
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV37311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice