Provider Demographics
NPI:1083172456
Name:FRANK T. HOANG DDS, P.A.
Entity Type:Organization
Organization Name:FRANK T. HOANG DDS, P.A.
Other - Org Name:PARK GLEN DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FRONT OFFICE/ RDA
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHAPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-577-8831
Mailing Address - Street 1:5421 BASSWOOD BLVD STE 770
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76137-4475
Mailing Address - Country:US
Mailing Address - Phone:817-577-8831
Mailing Address - Fax:817-788-8816
Practice Address - Street 1:5421 BASSWOOD BLVD STE 770
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76137-4475
Practice Address - Country:US
Practice Address - Phone:817-577-8831
Practice Address - Fax:817-788-8816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental