Provider Demographics
NPI:1669768156
Name:HUI, JASON (DDS)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:
Last Name:HUI
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 1:3709 GOOSE CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-1067
Mailing Address - Country:US
Mailing Address - Phone:817-683-7115
Mailing Address - Fax:
Practice Address - Street 1:705 S CUSTER RD STE 150
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3109
Practice Address - Country:US
Practice Address - Phone:469-251-2888
Practice Address - Fax:469-854-6558
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX265251223X2210X, 1223S0112X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223X2210XDental ProvidersDentistOrofacial Pain
No122300000XDental ProvidersDentist