Bui, Phong Nghieu
Bui, Phong Nghieu is an individual health care provider with primary practice located at 626 120Th Ave Ne Ste B210 , Bellevue WA 98005-3038. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bui, Phong Nghieu can be contacted via phone (425) 453-1547.Contact Information
Primary practice address
626 120Th Ave Ne Ste B210
Bellevue WA 98005-3038
Phone: (425) 453-1547
Fax: (426) 646-0974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE00009093 | Washington |
Profile Details
| NPI number | 1407912033 |
|---|---|
| LBN Legal business name | Bui, Phong Nghieu |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407912033 | NPPES |
| Washington | MEDICAID | 5040779 |
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