Provider Demographics
NPI:1164784328
Name:NGUYEN, HANH T (DMD)
Entity Type:Individual
Prefix:
First Name:HANH
Middle Name:T
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3341 TELEPHONE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-5400
Mailing Address - Country:US
Mailing Address - Phone:713-923-2252
Mailing Address - Fax:713-923-2292
Practice Address - Street 1:3341 TELEPHONE RD STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-5400
Practice Address - Country:US
Practice Address - Phone:713-923-2252
Practice Address - Fax:713-923-2292
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX188931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice