=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588522437
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SON NGUYEN BUI DMD PS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2026
-----------------------------------------------------
Last Update Date | 01/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15721 1ST AVE S
-----------------------------------------------------
City | BURIEN
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98148-1210
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-588-2237
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15721 1ST AVE S
-----------------------------------------------------
City | BURIEN
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98148-1210
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-588-2237
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SON BUI
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 832-628-8604
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------