Provider Demographics
NPI:1134222664
Name:HUYNH, CHI HUE (DDS)
Entity type:Individual
Prefix:DR
First Name:CHI
Middle Name:HUE
Last Name:HUYNH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4709 RAVENDALE DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082
Mailing Address - Country:US
Mailing Address - Phone:972-291-4500
Mailing Address - Fax:972-271-4511
Practice Address - Street 1:3302 N BUCKNER BLVD
Practice Address - Street 2:STE 119
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228
Practice Address - Country:US
Practice Address - Phone:214-320-3466
Practice Address - Fax:214-320-3444
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2008-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX198411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice