Provider Demographics
NPI:1629494331
Name:DAVILANGUYEN DENTAL PLLC
Entity Type:Organization
Organization Name:DAVILANGUYEN DENTAL PLLC
Other - Org Name:DISCOVER DENTISTRY OF SACHSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-797-4523
Mailing Address - Street 1:7360 HIGHWAY 78
Mailing Address - Street 2:100
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-2606
Mailing Address - Country:US
Mailing Address - Phone:972-429-9911
Mailing Address - Fax:972-429-9918
Practice Address - Street 1:7360 HIGHWAY 78
Practice Address - Street 2:100
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-2606
Practice Address - Country:US
Practice Address - Phone:972-429-9911
Practice Address - Fax:972-429-9918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX241951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty