| Nw Dental | |
|
7670 Katy Fwy # 30 Houston TX 77024-2254 | |
| (713) 681-6100 | |
| (281) 929-0410 |
| Full Name | Nw Dental |
|---|---|
| Speciality | Dentist |
| Location | 7670 Katy Fwy # 30, Houston, Texas |
| Authorized Official Name and Position | Vinh Nguyen (OWNER, DENTIST) |
| Authorized Official Contact | 7136816100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nw Dental 7670 Katy Fwy # 30 Houston TX 77024-2254 Ph: (713) 681-6100 | Nw Dental 7670 Katy Fwy # 30 Houston TX 77024-2254 Ph: (713) 681-6100 |
| NPI Number | 1770258055 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 06/10/2022 |
| Medicare PECOS PAC ID | 9739576406 |
|---|---|
| Medicare Enrollment ID | O20220427002406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770258055 | NPI | - | NPPES |
| 2C8777 | Other | TX | PROVIDER TRANSACTION ACCESS NUMBER (PTAN) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Liana Tam |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1053742163 PECOS PAC ID: 5193112860 Enrollment ID: I20220429001521 |
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