MEDICARE: DR. KIMBERLY BUI DDS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	060490	NY

General Provider Information

NPI Number	:	1366891533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY BUI DDS

Provider Business Mailing Address
First Line	:	77 BOWERY FL 6
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-4955
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	77 BOWERY FL 6
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-4955
Country	:	US
Telephone Number	:	212-274-0477
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2016
Last Update Date	:	03/16/2024

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Directions to “ DR. KIMBERLY BUI DDS” Practice Location

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