Healthcare Provider Details

I. General information

NPI: 1033034020
Provider Name (Legal Business Name): BACH HUYNH DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 MILFORD ST STE 502
SALISBURY MD
21804-6958
US

IV. Provider business mailing address

28385 OLD EDEN RD
EDEN MD
21822-2177
US

V. Phone/Fax

Practice location:
  • Phone: 410-749-7585
  • Fax:
Mailing address:
  • Phone: 443-399-6185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number18952
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: