Provider Demographics
NPI:1376391698
Name:ANH DUONG DMD PLLC
Entity type:Organization
Organization Name:ANH DUONG DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANH
Authorized Official - Middle Name:
Authorized Official - Last Name:DUONG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-233-5020
Mailing Address - Street 1:527 TASKER AVE
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:PA
Mailing Address - Zip Code:19033-1421
Mailing Address - Country:US
Mailing Address - Phone:610-233-5020
Mailing Address - Fax:
Practice Address - Street 1:100 S MACDADE BLVD
Practice Address - Street 2:
Practice Address - City:GLENOLDEN
Practice Address - State:PA
Practice Address - Zip Code:19036-1727
Practice Address - Country:US
Practice Address - Phone:484-474-0343
Practice Address - Fax:484-494-2142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty