Provider Demographics
NPI:1154445435
Name:BUI, ALICE M (DDS)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:M
Last Name:BUI
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Gender:F
Credentials:DDS
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Mailing Address - Street 1:10920 FRY RD
Mailing Address - Street 2:SUITE 650
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4061
Mailing Address - Country:US
Mailing Address - Phone:281-373-5437
Mailing Address - Fax:281-373-5438
Practice Address - Street 1:10920 FRY RD
Practice Address - Street 2:SUITE 650
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-4061
Practice Address - Country:US
Practice Address - Phone:281-373-5437
Practice Address - Fax:281-373-5438
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2014-01-10
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Provider Licenses
StateLicense IDTaxonomies
TX226461223G0001X, 1223P0221X
GADN0138671223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX182365001Medicaid