Provider Demographics
NPI:1629158621
Name:HOANG, LIEN-MY NGUYEN (DDS)
Entity type:Individual
Prefix:DR
First Name:LIEN-MY
Middle Name:NGUYEN
Last Name:HOANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 N PLANO RD
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-3827
Mailing Address - Country:US
Mailing Address - Phone:972-479-1181
Mailing Address - Fax:972-479-1477
Practice Address - Street 1:155 N PLANO RD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-3827
Practice Address - Country:US
Practice Address - Phone:972-479-1181
Practice Address - Fax:972-479-1477
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX223631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice