MEDICARE: BUI DENTAL COMPANY

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	27212872	TX

General Provider Information

NPI Number	:	1730426412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUI DENTAL COMPANY

Provider Business Mailing Address
First Line	:	208 E 25TH ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-2524
Country	:	US
Telephone Number	:	832-413-2944
Fax Number	:

Provider Business Practice Location Address
First Line	:	8420 HIGHWAY 6 N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2004
Country	:	US
Telephone Number	:	832-413-2944
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. SON NGUYEN BUI
Credential	:	D.M.D.
Telephone Number	:	832-413-2944

Provider Enumeration Date	:	01/15/2013
Last Update Date	:	01/15/2013

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Directions to “BUI DENTAL COMPANY ” Practice Location

Language	Start Address	Practice Location

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