Provider Demographics
NPI:1659465391
Name:DANG, HUNG NGOC (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUNG
Middle Name:NGOC
Last Name:DANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 S DECATUR BLVD STE 42B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-5859
Mailing Address - Country:US
Mailing Address - Phone:702-501-5818
Mailing Address - Fax:888-870-9859
Practice Address - Street 1:4001 S DECATUR BLVD STE 42B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-5859
Practice Address - Country:US
Practice Address - Phone:702-501-5818
Practice Address - Fax:702-501-5818
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV35201223G0001X
CA452391223G0001X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223G0001XDental ProvidersDentistGeneral Practice