MEDICARE: DR. NANCY HUYEN BUI DDS

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	18926	TX

General Provider Information

NPI Number	:	1467466599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY HUYEN BUI DDS

Provider Business Mailing Address
First Line	:	4300 MATLOCK RD
Second Line	:	SUITE 120
City	:	ARLINGTON
State	:	TX
Zip	:	76018-5258
Country	:	US
Telephone Number	:	817-467-9594
Fax Number	:	817-419-0529

Provider Business Practice Location Address
First Line	:	4300 MATLOCK RD
Second Line	:	SUITE 120
City	:	ARLINGTON
State	:	TX
Zip	:	76018-5258
Country	:	US
Telephone Number	:	817-467-9594
Fax Number	:	817-419-0529

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/08/2007

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