MEDICARE: NHU DINH DMD

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	40807	TX

General Provider Information

NPI Number	:	1851126478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NHU DINH DMD

Provider Business Mailing Address
First Line	:	7262 VAN TUYL PKWY
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-6283
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 COIT RD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-5709
Country	:	US
Telephone Number	:	818-961-4666
Fax Number	:

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

Provider Enumeration Date	:	09/04/2024
Last Update Date	:	09/04/2024

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