Provider Demographics
NPI:1821187279
Name:TON, DUONG D (DDS)
Entity Type:Individual
Prefix:DR
First Name:DUONG
Middle Name:D
Last Name:TON
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 1:314 W FIFTH ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-4604
Mailing Address - Country:US
Mailing Address - Phone:775-882-1111
Mailing Address - Fax:775-882-1120
Practice Address - Street 1:2695 COLMAR CT
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-6227
Practice Address - Country:US
Practice Address - Phone:702-326-4346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2021-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4077122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2212050Medicaid