Provider Demographics
NPI:1538831177
Name:HUY Q. NGO, DMD, PLLC
Entity type:Organization
Organization Name:HUY Q. NGO, DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HUY
Authorized Official - Middle Name:Q
Authorized Official - Last Name:NGO
Authorized Official - Suffix:
Authorized Official - Credentials:DE60853112
Authorized Official - Phone:425-343-3080
Mailing Address - Street 1:10715 13TH AVE W
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-3735
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1830 BICKFORD AVE STE 202
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-1750
Practice Address - Country:US
Practice Address - Phone:425-343-3080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty