Provider Demographics
NPI:1356373195
Name:HONG, DUNG THUY (DDS)
Entity type:Individual
Prefix:DR
First Name:DUNG
Middle Name:THUY
Last Name:HONG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4888 SPARKS BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-8120
Mailing Address - Country:US
Mailing Address - Phone:775-351-1111
Mailing Address - Fax:775-351-1114
Practice Address - Street 1:4888 SPARKS BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-8120
Practice Address - Country:US
Practice Address - Phone:775-351-1111
Practice Address - Fax:775-351-1114
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV27901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice