Provider Demographics
NPI:1316161367
Name:HUYNH, CAROLYN P (DDS)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:P
Last Name:HUYNH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6516 M D ANDERSON BLVD
Mailing Address - Street 2:SUITE 1.072
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3402
Mailing Address - Country:US
Mailing Address - Phone:713-500-4191
Mailing Address - Fax:713-500-0412
Practice Address - Street 1:6516 M D ANDERSON BLVD
Practice Address - Street 2:SUITE 1.072
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3402
Practice Address - Country:US
Practice Address - Phone:713-500-4191
Practice Address - Fax:713-500-0412
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX172521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice