Provider Demographics
NPI:1427145952
Name:DINH, ANGIE (DDS, PA)
Entity type:Individual
Prefix:DR
First Name:ANGIE
Middle Name:
Last Name:DINH
Suffix:
Gender:F
Credentials:DDS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3425 S SHEPHERD DR STE 250
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3337
Mailing Address - Country:US
Mailing Address - Phone:713-526-0056
Mailing Address - Fax:713-526-0070
Practice Address - Street 1:3425 S SHEPHERD DR STE 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3337
Practice Address - Country:US
Practice Address - Phone:713-526-0056
Practice Address - Fax:713-526-0070
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX200421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX760695972OtherTAX ID #
TX158642210Medicaid