Provider Demographics
NPI:1760531396
Name:HOANG, DANE-THUY LE (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:DANE-THUY
Middle Name:LE
Last Name:HOANG
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
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Mailing Address - Street 1:8900 FOREST LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-4113
Mailing Address - Country:US
Mailing Address - Phone:972-234-4500
Mailing Address - Fax:972-234-4501
Practice Address - Street 1:8900 FOREST LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-4113
Practice Address - Country:US
Practice Address - Phone:972-234-4500
Practice Address - Fax:972-234-4501
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX188431223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151607201Medicaid