Provider Demographics
NPI:1194828558
Name:DOAN, THAI-AN (DDS, PC)
Entity Type:Individual
Prefix:MS
First Name:THAI-AN
Middle Name:
Last Name:DOAN
Suffix:
Gender:F
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14228 BARBOUR AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-3410
Mailing Address - Country:US
Mailing Address - Phone:405-752-5437
Mailing Address - Fax:405-748-6684
Practice Address - Street 1:14228 BARBOUR AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134
Practice Address - Country:US
Practice Address - Phone:405-752-5437
Practice Address - Fax:405-748-6684
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5461651223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry