Provider Demographics
NPI:1376561217
Name:HOANG, REX HIEP (DMD)
Entity Type:Individual
Prefix:DR
First Name:REX
Middle Name:HIEP
Last Name:HOANG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 24TH ST NW STE 9
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2502
Mailing Address - Country:US
Mailing Address - Phone:202-333-9282
Mailing Address - Fax:888-750-7049
Practice Address - Street 1:730 24TH ST NW STE 9
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2502
Practice Address - Country:US
Practice Address - Phone:202-333-9282
Practice Address - Fax:888-750-7949
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10778122300000X
DCDEN5295122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist