Provider Demographics
NPI:1205953510
Name:HOANG, THUC D (DMD)
Entity type:Individual
Prefix:DR
First Name:THUC
Middle Name:D
Last Name:HOANG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 LAS COLINAS BLVD E
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-5556
Mailing Address - Country:US
Mailing Address - Phone:972-556-2277
Mailing Address - Fax:972-402-9370
Practice Address - Street 1:305 LAS COLINAS BLVD E
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-5556
Practice Address - Country:US
Practice Address - Phone:972-556-2277
Practice Address - Fax:972-402-9370
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX228661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice