Provider Demographics
NPI:1881695591
Name:HUYNH, KRISTI T (DMD)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:T
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 1:16015 SW TUALATIN SHERWOOD RD
Mailing Address - Street 2:SUITE #160
Mailing Address - City:SHERWOOD
Mailing Address - State:OR
Mailing Address - Zip Code:97140-8456
Mailing Address - Country:US
Mailing Address - Phone:503-925-1473
Mailing Address - Fax:503-925-1479
Practice Address - Street 1:16015 SW TUALATIN SHERWOOD RD
Practice Address - Street 2:SUITE #160
Practice Address - City:SHERWOOD
Practice Address - State:OR
Practice Address - Zip Code:97140-8456
Practice Address - Country:US
Practice Address - Phone:503-925-1473
Practice Address - Fax:503-925-1479
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD7541122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist