Avenue Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24925 Issued in TX

Legal business name

AVENUE DENTAL PLLC

Practice address

2602 Eldridge Pkwy Ste B
Houston, TX 77082-6874

Phone

(713) 670-6116

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Nguyen Bao Hathuc, DDSNPI 1235360611

Title

President

Phone

(713) 670-6116

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nguyen Bao Hathuc, DDS

  • General Practice Dentistry
  • Katy, TX
  • NPI 1235360611
  NPD (past) Authorized official

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1982914883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28010 HOLLYFARE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945144",
            "telephone_number": "713-670-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 ELDRIDGE PKWY STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770826874",
            "telephone_number": "713-670-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "HATHUC",
        "authorized_official_first_name": "NGUYEN",
        "authorized_official_middle_name": "BAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-670-6116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Avendano
• Avenging Angel Medical Transports LLC
• Aventra Medical LLC
• Aventus Health Care, LLC
• Avenue 360 Health & Wellness Pharmacy - Midtown
• Avenue Family Dentistry, PLLC
• Rauvan Averick, MD
• Avery Hospice LLC
• Allison Avery, PA-C, RRT
• Erica Avery, LCSW

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.