Provider Demographics
NPI:1316202013
Name:HUNG ANH HOANG, D.D.S., L.L.C.
Entity Type:Organization
Organization Name:HUNG ANH HOANG, D.D.S., L.L.C.
Other - Org Name:GEAUX SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUNG
Authorized Official - Middle Name:ANH
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:504-606-6926
Mailing Address - Street 1:828 AVENUE G
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-1830
Mailing Address - Country:US
Mailing Address - Phone:504-341-5200
Mailing Address - Fax:
Practice Address - Street 1:828 AVENUE G
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-1830
Practice Address - Country:US
Practice Address - Phone:504-341-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA62701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty