Phuong-Ly Bui, D.D.S., Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42810 Issued in CA

Legal business name

PHUONG-LY BUI, D.D.S., INC

Practice address

794 S Harbor Blvd
Santa Ana, CA 92704-2339

Phone

(714) 839-9925

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Phuong-Ly Thi Bui, D.D.S.NPI 1902964059

Title

Owner

Phone

(714) 839-9925

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Phuong-Ly Thi Bui, D.D.S.

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1902964059
  NPD (past) Authorized official
• Lyndon Tronglan Phan, D.D.S.

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1891852398
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700910213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 S HARBOR BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927042339",
            "telephone_number": "714-839-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 S HARBOR BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927042339",
            "telephone_number": "714-839-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHUONG-LY BUI, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "PHUONG-LY",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-839-9925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix House Orange County, Inc.
• Phoenix House Orange County, Inc.
• Jennifer Manh Phung
• Phuong Uyen Le Phung
• Phuong Phi Tran DDS Inc
• Parra Phuong, DDS
• William Dalton Piacitelli, APCC
• Giovanna Marie Piazza, M.DIV,. BCC
• Amanda Picard
• Blake Charles Pickering, OTR/L

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.