Provider Demographics
NPI:1699511840
Name:DUONG, HOANGNGHI CHAU (DMD)
Entity type:Individual
Prefix:DR
First Name:HOANGNGHI
Middle Name:CHAU
Last Name:DUONG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 DOUGLAS RD STE A
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-2912
Mailing Address - Country:US
Mailing Address - Phone:630-696-7231
Mailing Address - Fax:
Practice Address - Street 1:1016 DOUGLAS RD STE A
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-2912
Practice Address - Country:US
Practice Address - Phone:630-554-5244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.035324122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist