Tam Huu Ngo, BD, DMD
Individual provider Active NPI Dentist · Cuero, TX
NPI 1780113233 · NPPES record last updated Jun 24, 2022
Key facts
- NPI
- 1780113233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 33855 (TX)
- Practice address
- 505 N Esplanade St
Cuero, TX 77954-3603 - Phone
- (361) 524-4289
- NPI assigned
- Jun 8, 2017
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 33855 | TX | Yes |
Addresses
Primary practice location
505 N Esplanade St
Cuero, TX 77954-3603
Mailing address
1448 Shirley Dr
Sacramento, CA 95822-3049
Phone (916) 288-5467
Other providers in Cuero, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2022. 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.