MEDICARE: URBN DENTAL WEST U, PLLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1891650768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URBN DENTAL WEST U, PLLC

Provider Business Mailing Address
First Line	:	5578 WESLAYAN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-1942
Country	:	US
Telephone Number	:	346-447-7399
Fax Number	:	713-263-3326

Provider Business Practice Location Address
First Line	:	5578 WESLAYAN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-1942
Country	:	US
Telephone Number	:	346-447-7399
Fax Number	:	713-263-3326

Authorized Official
Title or Position	:	CEO
Name	:	DAVID T NGUYEN
Credential	:	DMD
Telephone Number	:	305-720-7870

Provider Enumeration Date	:	12/22/2025
Last Update Date	:	12/22/2025

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