Provider Demographics
NPI:1982727368
Name:TOWNWOOD DENTAL CENTER, PA
Entity Type:Organization
Organization Name:TOWNWOOD DENTAL CENTER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LIANNE
Authorized Official - Middle Name:P
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-433-6825
Mailing Address - Street 1:PO BOX 890834
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77289-0834
Mailing Address - Country:US
Mailing Address - Phone:713-433-6825
Mailing Address - Fax:
Practice Address - Street 1:3420 W OREM DR
Practice Address - Street 2:STE. E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-4634
Practice Address - Country:US
Practice Address - Phone:713-433-6825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX186591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty