Provider Demographics
NPI:1508311739
Name:AUSTIN HOANG, DDS, P.A.
Entity Type:Organization
Organization Name:AUSTIN HOANG, DDS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-893-5763
Mailing Address - Street 1:1925 N CENTRAL EXPY STE 405
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-1850
Mailing Address - Country:US
Mailing Address - Phone:903-893-5763
Mailing Address - Fax:
Practice Address - Street 1:1925 N CENTRAL EXPY STE 405
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-1850
Practice Address - Country:US
Practice Address - Phone:903-893-5763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25782122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty