MEDICARE: DR. TIMOTHY DANG DDS, MSD, CAGS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	35547	TX

General Provider Information

NPI Number	:	1407401193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY DANG DDS, MSD, CAGS

Provider Business Mailing Address
First Line	:	2726 BISSONNET ST # 240-422
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-1319
Country	:	US
Telephone Number	:	346-297-0027
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 WESTHEIMER RD STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-3221
Country	:	US
Telephone Number	:	346-297-0027
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2019
Last Update Date	:	01/26/2026

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