MEDICARE: OMNIPOINT ENTERPRISES, PA

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	:	1619970167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMNIPOINT ENTERPRISES, PA

Provider Business Mailing Address
First Line	:	PO BOX 5805
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77491-5805
Country	:	US
Telephone Number	:	281-578-3300
Fax Number	:	832-565-8213

Provider Business Practice Location Address
First Line	:	3950 FRY RD STE 600
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-6743
Country	:	US
Telephone Number	:	281-578-3300
Fax Number	:	832-565-8213

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	DR. MINHCHAU T. NGUYEN
Credential	:	DDS
Telephone Number	:	281-578-3300

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	08/16/2021

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