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General NPI Number Information
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NPI Number | 1245766906
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Entity Type | Individual
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Provider Name | DANIEL BUI D.M.D, M.D
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Gender | Male
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Dates
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Enumeration Date | 05/02/2017
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 10 BANDOL
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City | NEWPORT COAST
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State | CA
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Zip | 92657-0136
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Country | US
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Telephone | 949-307-9875
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Fax |
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Provider Business Mailing Address
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Address Line | 145 FRONT ST UNIT 1234
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City | WORCESTER
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State | MA
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Zip | 01608-1452
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | DN1859762
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License Number State | MA
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