Provider Demographics
NPI:1437679669
Name:DANG, AN HAI VAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:AN
Middle Name:HAI VAN
Last Name:DANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANTHONY
Other - Middle Name:
Other - Last Name:DANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:6443 MCCART AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-4702
Mailing Address - Country:US
Mailing Address - Phone:817-984-7460
Mailing Address - Fax:
Practice Address - Street 1:6443 MCCART AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-4702
Practice Address - Country:US
Practice Address - Phone:817-984-7460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32931122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist