Provider Demographics
NPI:1356016471
Name:HUYNH, KIMBERLY BUI (DMD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:BUI
Last Name:HUYNH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 MARINA VILLAGE DR APT 106
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NC
Mailing Address - Zip Code:28120-2096
Mailing Address - Country:US
Mailing Address - Phone:843-345-2474
Mailing Address - Fax:
Practice Address - Street 1:112 WOODLAWN AVE
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NC
Practice Address - Zip Code:28120-1775
Practice Address - Country:US
Practice Address - Phone:704-885-2266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14106122300000X
SC9936122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist