MEDICARE: HILARY HANH THIEU DMD

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	1223G0001X	General Practice Dentistry	38995	TX

General Provider Information

NPI Number	:	1801517149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILARY HANH THIEU DMD

Provider Business Mailing Address
First Line	:	12340 LITTLEFIELD DR
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-2313
Country	:	US
Telephone Number	:	214-927-2001
Fax Number	:

Provider Business Practice Location Address
First Line	:	2221 W LEDBETTER DR STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-4746
Country	:	US
Telephone Number	:	214-234-8444
Fax Number	:

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

Provider Enumeration Date	:	09/06/2022
Last Update Date	:	12/06/2023

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