Provider Demographics
NPI:1346250727
Name:THAI, TONG HOA (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:TONG
Middle Name:HOA
Last Name:THAI
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:TONY
Other - Middle Name:
Other - Last Name:THAI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS, MS
Mailing Address - Street 1:5255 N PRESIDENT GEORGE BUSH HWY
Mailing Address - Street 2:SUITE 375
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-2778
Mailing Address - Country:US
Mailing Address - Phone:972-495-8800
Mailing Address - Fax:972-495-8851
Practice Address - Street 1:5255 N PRESIDENT GEORGE BUSH HWY
Practice Address - Street 2:SUITE 375
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-2778
Practice Address - Country:US
Practice Address - Phone:972-495-8800
Practice Address - Fax:972-495-8851
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX181591223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics