MEDICARE: NHAN HIEN DENTISTRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics	18292	TX

General Provider Information

NPI Number	:	1073802195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NHAN HIEN DENTISTRY

Provider Business Mailing Address
First Line	:	12148 BELLAIRE BLVD
Second Line	:	SUITE 102
City	:	HOUSTON
State	:	TX
Zip	:	77072-2315
Country	:	US
Telephone Number	:	281-561-7200
Fax Number	:

Provider Business Practice Location Address
First Line	:	12148 BELLAIRE BLVD
Second Line	:	SUITE 102
City	:	HOUSTON
State	:	TX
Zip	:	77072-2315
Country	:	US
Telephone Number	:	281-561-7200
Fax Number	:

Authorized Official
Title or Position	:	PERIODONTIST/DENTIST
Name	:	DR. DINH XUAN BUI
Credential	:	DDS, MS
Telephone Number	:	281-579-6066

Provider Enumeration Date	:	03/29/2011
Last Update Date	:	03/29/2011

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Directions to “NHAN HIEN DENTISTRY ” Practice Location

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