select
Online Help Help

Manage PermissionsManage Permissions

NPI

21,244,123

Facility Name

http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3517/dia-chi-xet-nghiem-benh-giang-mai.htm  http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3518/kham-benh-xa-hoi-o-dau-ha-noi.htm

First Name

http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3527/chua-benh-lau-o-dau-ha-noi.htm  http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3675/cach-chua-tri-benh-lau-tai-nha.htm

Last Name

http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3700/chi-phi-xet-nghiem-benh-xa-hoi.htm  http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3700/chi-phi-xet-nghiem-giang-mai.htm

Physical Street Address -- NOTE:  Please return to complete this Survey separately for each physical service location where you provide dental services.

http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3683/chua-sui-mao-ga-o-dau.htm  http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3700/chi-phi-chua-sui-mao-ga.htm

Physical City

http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3561/phong-kham-nam-khoa-o-dau.htm  http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3683/tep-tai-lieu-tham-khao.htm?chi-phi-kham-nam-khoa.html

Physical State (Please use state abbreviation ex: ME for Maine)

http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3473/chi-phi-cat-bao-quy-dau-bao-nhieu-tien.htm  http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3531/dia-chi-cat-bao-quy-dau-o-dau.htm

Physical Zip Code

1,343,321

Are you currently accepting new MaineCare members?

Yes

Are you able to accommodate children with special needs?

Yes

Are you able to serve children with mobility issues such as wheelchair ramps and wider doorways?

No

Are you able to provide services to children with complex health needs such as sedation?

No

Are you able to provide services to children with intellectual disabilities such as autism?

Yes

Dental License Number

http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3419/phong-kham-da-khoa-thai-ha.htm  http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3562/phong-kham-da-khoa-ha-noi.htm
Created at 11/21/2022 10:38 PM by ***
Last modified at 11/21/2022 10:38 PM by ***