MEDICARE: NEW DENTAL, 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	18424	TX

General Provider Information

NPI Number	:	1952309072
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW DENTAL, PA

Provider Business Mailing Address
First Line	:	5716 BELLAIRE BLVD
Second Line	:	STE B
City	:	HOUSTON
State	:	TX
Zip	:	77081-5511
Country	:	US
Telephone Number	:	713-668-1600
Fax Number	:	713-668-1640

Provider Business Practice Location Address
First Line	:	5716 BELLAIRE BLVD
Second Line	:	STE B
City	:	HOUSTON
State	:	TX
Zip	:	77081-5511
Country	:	US
Telephone Number	:	713-668-1600
Fax Number	:	713-668-1640

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. HUONG T NGUYEN
Credential	:	DMD
Telephone Number	:	713-668-1600

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	08/22/2020

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Directions to “NEW DENTAL, PA ” Practice Location

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