Son Bui DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010979 Issued in WA

Legal business name

SON BUI DMD PLLC

Practice address

14820 Pacific Ave S
Tacoma, WA 98444-4655

Phone

(832) 628-8604

Fax

(281) 855-4511

NPI assigned

Sep 13, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Son Nguyen Bui, DMDNPI 1811188857

Title

Owner

Phone

(832) 628-8604

Specialties & licenses 1

Addresses

Other names 1

• Mint Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Son Nguyen Bui, D.M.D.

  • Dentist
  • Tacoma, WA
  • NPI 1811188857

  General Practice

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1396264180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 25TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082523",
            "telephone_number": "832-628-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14820 PACIFIC AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444655",
            "telephone_number": "832-628-8604",
            "fax_number": "281-855-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SON BUI DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "SON",
        "authorized_official_middle_name": "NGUYEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-628-8604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soundarya Somasundaram, PA-C
• Mercedes Somich, PA-C
• Matthew Gerard Somma, PA-C
• Emily Jean Sommer Liddle
• Taylor Alicia Sommer
• Brady T Son, MD
• Andy Song, BCBA
• Chusuk Song, R.N.
• Jamie Song, AU.D.
• Jonathan K Song, D.O.

• General Practice Dentistry in Tacoma, WA
• Providers in Tacoma, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.