MEDICARE: DR. ANDY PHUI DMD

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	6637	NV

General Provider Information

NPI Number	:	1811371818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDY PHUI DMD

Provider Business Mailing Address
First Line	:	8466 WILLOW MIST DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-6152
Country	:	US
Telephone Number	:	702-338-6668
Fax Number	:

Provider Business Practice Location Address
First Line	:	5590 PAINTED MIRAGE RD STE 150
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4585
Country	:	US
Telephone Number	:	702-450-8888
Fax Number	:

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

Provider Enumeration Date	:	07/20/2015
Last Update Date	:	07/20/2015

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