MEDICARE: S. HUANG, DDS, 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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)

General Provider Information

NPI Number	:	1972358034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S. HUANG, DDS, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 676314
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75267-6314
Country	:	US
Telephone Number	:	702-270-2999
Fax Number	:

Provider Business Practice Location Address
First Line	:	2835 SAINT ROSE PKWY STE 100
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4847
Country	:	US
Telephone Number	:	702-270-2999
Fax Number	:

Authorized Official
Title or Position	:	ORAL SURGEON
Name	:	STEVE HUANG
Credential	:	DDS
Telephone Number	:	702-270-2999

Provider Enumeration Date	:	04/22/2024
Last Update Date	:	04/22/2024

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