MEDICARE: NGUYEN & HUYNH, DDS, PA

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	20228	TX
2	1223G0001X	General Practice Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568649879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NGUYEN & HUYNH, DDS, PA

Provider Business Mailing Address
First Line	:	4058 LITTLE YORK
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77093
Country	:	US
Telephone Number	:	713-742-8887
Fax Number	:	713-742-9080

Provider Business Practice Location Address
First Line	:	4058 LITTLE YORK
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77093
Country	:	US
Telephone Number	:	713-742-8887
Fax Number	:	713-742-9080

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THAO HIEN NGUYEN
Credential	:	D.D.S.
Telephone Number	:	281-828-8889

Provider Enumeration Date	:	01/29/2008
Last Update Date	:	04/27/2023

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