Provider Demographics
NPI:1972818524
Name:HUYNH, MINH-NGUYET THI (DDS)
Entity type:Individual
Prefix:
First Name:MINH-NGUYET
Middle Name:THI
Last Name:HUYNH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9323 STOCKPORT DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-6537
Mailing Address - Country:US
Mailing Address - Phone:253-203-5786
Mailing Address - Fax:
Practice Address - Street 1:24230 KUYKENDAHL RD
Practice Address - Street 2:STE 300
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-5123
Practice Address - Country:US
Practice Address - Phone:281-547-6055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-06
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31558122300000X
WADE60171753122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist