Albert Huang, D.D.S.
Individual provider Active NPI Dentist · Dededo, GU
NPI 1700086147 · NPPES record last updated Jul 19, 2016
Key facts
- NPI
- 1700086147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D-1024 (GU)
- Practice address
- 134 East Marine Drive
Unit B3
Dededo, GU 96929 - Phone
- (671) 989-5999
- NPI assigned
- Jul 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-1024 | GU | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 55885 | CA | |
| Dentist | 122300000X | D-1024 | GU | Yes |
Addresses
Primary practice location
134 East Marine Drive
Unit B3
Dededo, GU 96929
Mailing address
PO Box 326115
Hagatna, GU 96932-6001
Other providers in Dededo, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.