Provider Demographics
NPI:1003792060
Name:MAI, HUY KHOI (DDS)
Entity type:Individual
Prefix:
First Name:HUY KHOI
Middle Name:
Last Name:MAI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 E FARWELL RD APT 119
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-8213
Mailing Address - Country:US
Mailing Address - Phone:402-484-1845
Mailing Address - Fax:
Practice Address - Street 1:60 SIMPSON PKWY
Practice Address - Street 2:
Practice Address - City:CHENEY
Practice Address - State:WA
Practice Address - Zip Code:99004-2031
Practice Address - Country:US
Practice Address - Phone:509-235-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE70004588122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist