Provider Demographics
NPI:1508274754
Name:NORTH CARROLLTON DENTAL PALLC
Entity Type:Organization
Organization Name:NORTH CARROLLTON DENTAL PALLC
Other - Org Name:NORTH CARROLLTON DENTAL PALLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:TUAN
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-390-4447
Mailing Address - Street 1:1016 E HEBRON PKWY STE 170
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-1021
Mailing Address - Country:US
Mailing Address - Phone:214-390-4447
Mailing Address - Fax:214-390-4448
Practice Address - Street 1:1016 E HEBRON PKWY
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-1022
Practice Address - Country:US
Practice Address - Phone:214-390-4447
Practice Address - Fax:214-390-4448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20048122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty