Provider Demographics
NPI:1982645123
Name:HOANG, AN NGOC (DDS)
Entity Type:Individual
Prefix:DR
First Name:AN
Middle Name:NGOC
Last Name:HOANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:11102 S HIGHWAY 6
Mailing Address - Street 2:104
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4971
Mailing Address - Country:US
Mailing Address - Phone:281-988-8955
Mailing Address - Fax:281-988-8559
Practice Address - Street 1:11102 S HIGHWAY 6
Practice Address - Street 2:104
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4971
Practice Address - Country:US
Practice Address - Phone:281-988-8955
Practice Address - Fax:281-988-8559
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX178501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX193852OtherUNITED HEALTHCARE
TX868893OtherUNITED CONCORDIA