Provider Demographics
NPI:1124307822
Name:NGUYEN, QUAN HOANG (DMD)
Entity type:Individual
Prefix:DR
First Name:QUAN
Middle Name:HOANG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14250 BELLAIRE BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-7529
Mailing Address - Country:US
Mailing Address - Phone:281-904-0987
Mailing Address - Fax:713-988-8511
Practice Address - Street 1:5634 SUMMER SNOW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-5528
Practice Address - Country:US
Practice Address - Phone:281-904-0987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27063122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist