Provider Demographics
NPI:1699072009
Name:ANTHONY N. HOANG, DMD & ASSOCIATES, PLLC
Entity type:Organization
Organization Name:ANTHONY N. HOANG, DMD & ASSOCIATES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:N
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:703-503-8996
Mailing Address - Street 1:8996 BURKE LAKE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-1607
Mailing Address - Country:US
Mailing Address - Phone:703-503-8996
Mailing Address - Fax:703-503-1010
Practice Address - Street 1:8996 BURKE LAKE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-1607
Practice Address - Country:US
Practice Address - Phone:703-503-8996
Practice Address - Fax:703-503-1010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-21
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014109741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty