Individual provider · NPI-1

Dr. Phong Nghieu Bui, DDS

Dentist, General Practice · Renton, WA

NPI number1407912033
StatusActive
Last updated in NPPESApr 12, 2026

Details

NPI
1407912033
Entity type
Individual (NPI-1)
Name
Dr. Phong Nghieu Bui
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 28, 2006
Certification date
Apr 12, 2026
Last updated
Apr 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDE00009093WAYes

Practice location

1640 Duvall Ave Ne Ste 201
Renton, WA 98059-3985

Phone 425-235-4950 · Fax 425-235-4989

Mailing address

1640 Duvall Ave Ne Ste 201
Renton, WA 98059-3985

Phone 425-235-4950 · Fax 425-235-4989

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