Provider Demographics
NPI:1376647305
Name:HOANG, MARIA T (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:T
Last Name:HOANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-2002
Mailing Address - Country:US
Mailing Address - Phone:405-631-4439
Mailing Address - Fax:405-632-7905
Practice Address - Street 1:7300 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-2002
Practice Address - Country:US
Practice Address - Phone:405-631-4439
Practice Address - Fax:405-632-7905
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK52801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1701970OtherUNITED CONCORDIA