Provider Demographics
NPI:1649691833
Name:FRANK HOANG STONE GLEN DENTAL CARE, PA
Entity type:Organization
Organization Name:FRANK HOANG STONE GLEN DENTAL CARE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:T
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-482-1400
Mailing Address - Street 1:4400 HERITAGE TRACE PKWY
Mailing Address - Street 2:STE # 212
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-8901
Mailing Address - Country:US
Mailing Address - Phone:817-482-1400
Mailing Address - Fax:817-482-1401
Practice Address - Street 1:4400 HERITAGE TRACE PKWY
Practice Address - Street 2:STE # 212
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-8901
Practice Address - Country:US
Practice Address - Phone:817-482-1400
Practice Address - Fax:817-482-1401
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANK HOANG STONE GLEN DENTAL CARE, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-15
Last Update Date:2013-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX200481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty