Provider Demographics
NPI:1407600216
Name:HOANG DMD & NGO DDS AND ASSOCIATES PLLC
Entity type:Organization
Organization Name:HOANG DMD & NGO DDS AND ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BAO
Authorized Official - Middle Name:
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:336-541-0208
Mailing Address - Street 1:5005 GLENMORGAN LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-7418
Mailing Address - Country:US
Mailing Address - Phone:336-541-0208
Mailing Address - Fax:
Practice Address - Street 1:102 S SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NC
Practice Address - Zip Code:27830-8709
Practice Address - Country:US
Practice Address - Phone:919-242-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1205417540OtherGENERAL DENTISTRY