Thuong Huynh, DDS, MDS, CDT, FACP

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

11605 Issued in TN

Practice address

795 Ridge Lake Blvd Ste 101
Memphis, TN 38120-9475

Phone

(901) 682-5001

Fax

(901) 682-5099

NPI assigned

Jun 13, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Tony Huynh Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1962070300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 RIDGE LAKE BLVD STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209475",
            "telephone_number": "901-682-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 RIDGE LAKE BLVD STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209475",
            "telephone_number": "901-682-5001",
            "fax_number": "901-682-5099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381033513",
            "country_code": "US",
            "telephone_number": "901-448-7180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8295 Cordova Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380162051",
            "country_code": "US",
            "telephone_number": "901-209-9045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "THUONG",
        "name_prefix": "Dr.",
        "credential": "DDS, MDS, CDT, FACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-13",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "4259-21",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TN",
            "license": "11605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "HUYNH",
            "prefix": "DR.",
            "credential": "DDS, MDS, CDT, FACP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Katrina Hutton, D.O.
• Tess Hill Huwe
• Mandy Huynh, RBT
• Nga T. Huynh, MD
• Richard Huynh, D.O.
• Thuy Thanh Huynh, PHARMD
• Tien Huynh, PHARMD
• Isabelle Hwang, DDS
• Michael Hyatt, CRNA
• Patricia Ann Hyatt, RRT, CPFT, EMT

• Prosthodontics in Memphis, TN
• Providers in Memphis, TN by specialty
• Prosthodontics in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.