Provider Demographics
NPI:1821881632
Name:HTUN, KYAW THU (DMD)
Entity type:Individual
Prefix:
First Name:KYAW
Middle Name:THU
Last Name:HTUN
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 1:46 VAUGHAN DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-3461
Mailing Address - Country:US
Mailing Address - Phone:862-332-0409
Mailing Address - Fax:
Practice Address - Street 1:304 W BEDFORD ST
Practice Address - Street 2:
Practice Address - City:DIMMITT
Practice Address - State:TX
Practice Address - Zip Code:79027-2508
Practice Address - Country:US
Practice Address - Phone:806-681-4135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-24
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN302651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice