Provider Demographics
NPI:1184193732
Name:ANDY HOANG DDS INC
Entity Type:Organization
Organization Name:ANDY HOANG DDS INC
Other - Org Name:OCEANSIDE DENTAL AND ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:T
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-466-0776
Mailing Address - Street 1:4750 OCEANSIDE BLVD STE A15
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-3064
Mailing Address - Country:US
Mailing Address - Phone:760-466-0776
Mailing Address - Fax:760-466-0761
Practice Address - Street 1:4750 OCEANSIDE BLVD STE A15
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-3064
Practice Address - Country:US
Practice Address - Phone:760-466-0776
Practice Address - Fax:760-466-0761
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANDY HOANG DDS , INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-13
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty