Provider Demographics
NPI:1083990253
Name:THOMAS HAO, LLC
Entity Type:Organization
Organization Name:THOMAS HAO, LLC
Other - Org Name:HAO ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:HAO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-290-5666
Mailing Address - Street 1:29795 THREE NOTCH RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE HALL
Mailing Address - State:MD
Mailing Address - Zip Code:20622-4106
Mailing Address - Country:US
Mailing Address - Phone:301-290-5666
Mailing Address - Fax:301-290-5886
Practice Address - Street 1:29795 THREE NOTCH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE HALL
Practice Address - State:MD
Practice Address - Zip Code:20622-4106
Practice Address - Country:US
Practice Address - Phone:301-290-5666
Practice Address - Fax:301-290-5886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD134361223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty