MEDICARE: ERIC HUI, DMD, P.C.

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1225802226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERIC HUI, DMD, P.C.

Provider Business Mailing Address
First Line	:	510 MARKS ST STE 130
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-8604
Country	:	US
Telephone Number	:	702-989-9960
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 MARKS ST STE 130
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-8604
Country	:	US
Telephone Number	:	702-989-9960
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ERIC HUI
Credential	:	DMD
Telephone Number	:	702-989-9960

Provider Enumeration Date	:	11/09/2023
Last Update Date	:	11/09/2023

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