Individual provider Active NPI

Quyen Tu Huynh, DDS

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1881829653
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24546 Issued in TX
Practice address
3200 S Lancaster Rd Ste 183
Dallas, TX 75216-4555
Phone
(214) 375-9999
Fax
(214) 375-9997
NPI assigned
May 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24546 TX Primary

Addresses

Primary practice location

3200 S Lancaster Rd Ste 183
Dallas, TX 75216-4555

Mailing address

4709 Ravendale Dr
Richardson, TX 75082-3838
Phone (469) 655-5221

Other identifiers 1

IdentifierTypeStateIssuer
201588506MedicaidTX

Other names 1

  • Quyen Tu Vo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150114000618 TX Order and Referring Only - DentistPractitioner - Dentist 9032433404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Care Management Services, Inc CurrentSince Jul 9, 2025 Accepting new patients
Excel Dental Clinic PA General Practice Current Accepting new patients
Excel Dental Clinic of Lancaster, PC CurrentSince Jun 22, 2021 Accepting new patients
Excel Dental Clinic of Garland PA General Practice CurrentSince Jan 10, 2021 Accepting new patients
Excel Dental Clinic of Forest Lane, P. C. General Practice Past Accepting new patients

Locations

3200 S Lancaster Rd
Ste 183
Dallas, TX 75216
Phone (214) 375-9999

1815 S 1st St
Ste H
Garland, TX 75040
Phone (972) 271-4500

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1881829653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 RAVENDALE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823838",
            "telephone_number": "469-655-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S LANCASTER RD STE 183",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752164555",
            "telephone_number": "214-375-9999",
            "fax_number": "214-375-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "QUYEN",
        "middle_name": "TU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2021-05-27",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201588506",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QUYEN",
            "last_name": "VO",
            "middle_name": "TU",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.