Provider Demographics
NPI:1043567019
Name:HOANG, BRIAN VINH (DDS, PHARMD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:VINH
Last Name:HOANG
Suffix:
Gender:M
Credentials:DDS, PHARMD
Other - Prefix:
Other - First Name:VINH
Other - Middle Name:
Other - Last Name:HOANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS, PHARMD
Mailing Address - Street 1:3090 SENNA DR
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-6726
Mailing Address - Country:US
Mailing Address - Phone:704-847-1000
Mailing Address - Fax:
Practice Address - Street 1:3090 SENNA DR
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-6726
Practice Address - Country:US
Practice Address - Phone:704-847-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22522183500000X
OR0014285183500000X
NC13435122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No183500000XPharmacy Service ProvidersPharmacist