Provider Demographics
NPI:1649542804
Name:A - Z DENTAL PLLC
Entity type:Organization
Organization Name:A - Z DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUYNH
Authorized Official - Middle Name:HOA
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:469-688-1944
Mailing Address - Street 1:3434 TOWNE CROSSING BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-2724
Mailing Address - Country:US
Mailing Address - Phone:208-475-5869
Mailing Address - Fax:
Practice Address - Street 1:3434 TOWNE CROSSING BLVD STE 106
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-2724
Practice Address - Country:US
Practice Address - Phone:208-475-5869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty