Provider Demographics
NPI:1154395994
Name:NGUYEN, DZUNG HUU HOANG (DDS)
Entity type:Individual
Prefix:DR
First Name:DZUNG
Middle Name:HUU HOANG
Last Name:NGUYEN
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 1:601 E WHITESTONE BLVD STE 628
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-9047
Mailing Address - Country:US
Mailing Address - Phone:512-260-8556
Mailing Address - Fax:
Practice Address - Street 1:601 E WHITESTONE BLVD STE 628
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-9047
Practice Address - Country:US
Practice Address - Phone:512-260-8556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL190271361223G0001X
TX264481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice