Provider Demographics
NPI:1538833561
Name:BUI, NAM (DMD)
Entity type:Individual
Prefix:DR
First Name:NAM
Middle Name:
Last Name:BUI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4410 CEDAR ELM LN
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-6117
Mailing Address - Country:US
Mailing Address - Phone:469-653-7840
Mailing Address - Fax:
Practice Address - Street 1:4410 CEDAR ELM LN
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-6117
Practice Address - Country:US
Practice Address - Phone:469-653-7840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37568122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist