Healthcare Provider Details

I. General information

NPI: 1134067119
Provider Name (Legal Business Name): HUANG & HSU, P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 128TH ST SW STE A
EVERETT WA
98204-5321
US

IV. Provider business mailing address

827 128TH ST SW STE A
EVERETT WA
98204-5321
US

V. Phone/Fax

Practice location:
  • Phone: 425-290-9277
  • Fax: 425-290-9294
Mailing address:
  • Phone: 425-290-9277
  • Fax: 425-290-9294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: NAN-CHIEH HUANG
Title or Position: OWNER
Credential: DDS, MDSC, MSD
Phone: 425-290-9277