=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134067119
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HUANG & HSU, P.L.L.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/23/2026
-----------------------------------------------------
Last Update Date | 03/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 827 128TH ST SW STE A
-----------------------------------------------------
City | EVERETT
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98204-5321
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-290-9277
-----------------------------------------------------
Fax | 425-290-9294
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 827 128TH ST SW STE A
-----------------------------------------------------
City | EVERETT
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98204-5321
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-290-9277
-----------------------------------------------------
Fax | 425-290-9294
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | NAN-CHIEH HUANG
-----------------------------------------------------
Credential | DDS, MDSC, MSD
-----------------------------------------------------
Telephone | 425-290-9277
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1223P0300X
-----------------------------------------------------
Taxonomy Name | Periodontics
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 1223P0700X
-----------------------------------------------------
Taxonomy Name | Prosthodontics
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------