Provider Demographics
NPI:1457510927
Name:NGUYEN, HANG THANH (DDS)
Entity Type:Individual
Prefix:
First Name:HANG
Middle Name:THANH
Last Name:NGUYEN
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 1:47630 MID SURREY SQ
Mailing Address - Street 2:
Mailing Address - City:POTOMAC FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:20165-5181
Mailing Address - Country:US
Mailing Address - Phone:703-955-1741
Mailing Address - Fax:
Practice Address - Street 1:15200 SHADY GROVE ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878
Practice Address - Country:US
Practice Address - Phone:703-955-1741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401410500122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist