Provider Demographics
NPI:1013959089
Name:CHU, HENRY H (DDS)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:H
Last Name:CHU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 N FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-2811
Mailing Address - Country:US
Mailing Address - Phone:210-414-7954
Mailing Address - Fax:
Practice Address - Street 1:1 CHILDRENS WAY # 540
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-3500
Practice Address - Country:US
Practice Address - Phone:501-364-1816
Practice Address - Fax:501-364-6800
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDB2023-03131223G0001X
TX152991223G0001X
AR4478122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice