MEDICARE: DR. PHUONG KIM DO 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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	22079	TX

General Provider Information

NPI Number	:	1417171281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHUONG KIM DO DDS

Provider Business Mailing Address
First Line	:	3010 LYNDON B JOHNSON FWY
Second Line	:	STE 200
City	:	DALLAS
State	:	TX
Zip	:	75234-7770
Country	:	US
Telephone Number	:	972-444-8888
Fax Number	:	972-488-1899

Provider Business Practice Location Address
First Line	:	3010 LYNDON B JOHNSON FWY
Second Line	:	STE 200
City	:	DALLAS
State	:	TX
Zip	:	75234-7770
Country	:	US
Telephone Number	:	972-444-8888
Fax Number	:	972-488-1899

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

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	06/16/2022

Similar Medicare Providers

1366484800 — VIVA HOME HEALTH SERVICES LLC
Practice Location Address:

3010 LYNDON B JOHNSON FWY STE 1100B
DALLAS, TX
75234-7770

Practice Phone: 972-756-1080
Practice Fax: 972-756-1072

1790822674 — DR. ANDREW GARLAND MCGARRAHAN PH.D.
Practice Location Address:

3010 LYNDON B JOHNSON FWY , SUITE 1200
DALLAS, TX
75234-7770

Practice Phone: 972-919-6154
Practice Fax:

1003030776 — DR. AARON KENT IP DDS
Practice Location Address:

3010 LYNDON B JOHNSON FWY , STE 200
DALLAS, TX
75234-7770

Practice Phone: 972-444-8888
Practice Fax: 972-488-1899

1346464997 — DR. JOHN WAYNE KING DDS
Practice Location Address:

3010 LYNDON B JOHNSON FWY , STE 200
DALLAS, TX
75234-7770

Practice Phone: 972-444-8888
Practice Fax: 972-488-1899

1770707325 — DR. MICHELLE LIANG LAM DDS
Practice Location Address:

3010 LYNDON B JOHNSON FWY , STE 200
DALLAS, TX
75234-7770

Practice Phone: 972-444-8888
Practice Fax: 972-488-1899

1336363837 — DR. WAHID SAHYOUNI DDS
Practice Location Address:

3010 LYNDON B JOHNSON FWY , STE 200
DALLAS, TX
75234-7770

Practice Phone: 972-444-8888
Practice Fax: 972-488-1899

Directions to “ DR. PHUONG KIM DO DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.