Provider Demographics
NPI:1801644471
Name:DANG DENTAL PLLC
Entity type:Organization
Organization Name:DANG DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:623-848-1201
Mailing Address - Street 1:7425 W PEORIA AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-5877
Mailing Address - Country:US
Mailing Address - Phone:623-848-1201
Mailing Address - Fax:
Practice Address - Street 1:7425 W PEORIA AVE STE 101
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-5877
Practice Address - Country:US
Practice Address - Phone:623-848-1201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental