Provider Demographics
NPI:1982031951
Name:NGUYEN, HOANG-OANH SON (DMD)
Entity Type:Individual
Prefix:
First Name:HOANG-OANH
Middle Name:SON
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9996 SAVANNAH BLUFF LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-8229
Mailing Address - Country:US
Mailing Address - Phone:321-946-8740
Mailing Address - Fax:
Practice Address - Street 1:700 N HAMPTON AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-4234
Practice Address - Country:US
Practice Address - Phone:407-895-3407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20386122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist