Healthcare Provider Details

I. General information

NPI: 1952408619
Provider Name (Legal Business Name): TIN WAI HUI DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2006
Last Update Date: 08/18/2023
Certification Date: 08/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16209 NE 13TH AVE
NORTH MIAMI BEACH FL
33162-4607
US

IV. Provider business mailing address

16209 NE 13TH AVE
NORTH MIAMI BEACH FL
33162-4607
US

V. Phone/Fax

Practice location:
  • Phone: 954-430-2188
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDN12723
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN12723
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: