Provider Demographics
NPI:1801575162
Name:B-YOU DENTISTRY
Entity type:Organization
Organization Name:B-YOU DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAN
Authorized Official - Middle Name:MANH
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:210-616-1210
Mailing Address - Street 1:630 FALLS BAY CT
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-3305
Mailing Address - Country:US
Mailing Address - Phone:210-616-1210
Mailing Address - Fax:
Practice Address - Street 1:5355 LAUREL SPRINGS PKWY
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6026
Practice Address - Country:US
Practice Address - Phone:210-616-1210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty