Provider Demographics
NPI:1750554457
Name:NGUYENANH CHU, D.D.S., P.C.
Entity type:Organization
Organization Name:NGUYENANH CHU, D.D.S., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NGUYENANH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-290-6974
Mailing Address - Street 1:6955 OAKLAND MILLS RD
Mailing Address - Street 2:SUITE O
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5849
Mailing Address - Country:US
Mailing Address - Phone:410-290-6974
Mailing Address - Fax:410-290-7911
Practice Address - Street 1:6955 OAKLAND MILLS RD
Practice Address - Street 2:SUITE O
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5849
Practice Address - Country:US
Practice Address - Phone:410-290-6974
Practice Address - Fax:410-290-7911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12199122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty