Provider Demographics
NPI:1053848630
Name:AH DENTAL 2 PLLC
Entity Type:Organization
Organization Name:AH DENTAL 2 PLLC
Other - Org Name:AH DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DDS/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-342-6705
Mailing Address - Street 1:6619 FOREST HILL DR STE 55
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:TX
Mailing Address - Zip Code:76140-1260
Mailing Address - Country:US
Mailing Address - Phone:817-483-0188
Mailing Address - Fax:
Practice Address - Street 1:11411 E NORTHWEST HWY STE 101
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-1445
Practice Address - Country:US
Practice Address - Phone:972-342-6705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-15
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental