MEDICARE: HWUK CHAN WOO DDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1053242305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HWUK CHAN WOO DDS PLLC

Provider Business Mailing Address
First Line	:	7481 W LAKE MEAD BLVD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1047
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7481 W LAKE MEAD BLVD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1047
Country	:	US
Telephone Number	:	907-330-9397
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HWUK CHAN WOO
Credential	:
Telephone Number	:	907-330-9397

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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