Provider Demographics
NPI:1376994863
Name:HOANG, DUONG THUY (DDS)
Entity Type:Individual
Prefix:MISS
First Name:DUONG
Middle Name:THUY
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 1:8380 BOYDTON PLANK RD
Mailing Address - Street 2:
Mailing Address - City:ALBERTA
Mailing Address - State:VA
Mailing Address - Zip Code:23821-2851
Mailing Address - Country:US
Mailing Address - Phone:434-949-7211
Mailing Address - Fax:
Practice Address - Street 1:8380 BOYDTON PLANK RD
Practice Address - Street 2:
Practice Address - City:ALBERTA
Practice Address - State:VA
Practice Address - Zip Code:23821-2851
Practice Address - Country:US
Practice Address - Phone:434-949-7211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-25
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014152521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice