Provider Demographics
NPI:1053847368
Name:NGUYEN, HANAH H
Entity Type:Individual
Prefix:DR
First Name:HANAH
Middle Name:H
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3628 FRANKFORD RD STE 235
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-6165
Mailing Address - Country:US
Mailing Address - Phone:972-820-6050
Mailing Address - Fax:972-820-5709
Practice Address - Street 1:3628 FRANKFORD RD STE 235
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-6165
Practice Address - Country:US
Practice Address - Phone:972-820-6050
Practice Address - Fax:972-820-5709
Is Sole Proprietor?:No
Enumeration Date:2017-05-05
Last Update Date:2020-10-28
Deactivation Date:2017-06-06
Deactivation Code:
Reactivation Date:2020-10-28
Provider Licenses
StateLicense IDTaxonomies
TX19762122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist