Provider Demographics
NPI:1457560989
Name:HOANG, ANTHONY
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:HOANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6619 FOREST HILL DR STE 55
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:TX
Mailing Address - Zip Code:76140-1260
Mailing Address - Country:US
Mailing Address - Phone:817-483-0188
Mailing Address - Fax:
Practice Address - Street 1:6619 FOREST HILL DR STE 55
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:TX
Practice Address - Zip Code:76140-1260
Practice Address - Country:US
Practice Address - Phone:817-572-5580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX232421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice