Huang, Chia Taw

Huang, Chia Taw is an individual health care provider with primary practice located at 625 Elmwood Ave Box 683, Rochester NY 14620-2913. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Huang, Chia Taw can be contacted via phone (585) 275-5007.

Contact Information

Primary practice address
625 Elmwood Ave Box 683 Rochester NY 14620-2913
Fax: (585) 276-0293
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 034892 New York
Dental Providers / Pediatric Dentistry 1223P0221X 034892 New York

Profile Details

NPI number 1851409361
LBN Legal business name Huang, Chia Taw
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jun 27th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851409361 NPPES
New York MEDICAID 00587059

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