MEDICARE: DR. NHU QUYNH DANG DDS

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	122300000X	Dentist	32945	TX
2	1223G0001X	General Practice Dentistry	32945	TX

General Provider Information

NPI Number	:	1972023661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NHU QUYNH DANG DDS

Provider Business Mailing Address
First Line	:	3801 GOOSE CREEK PKWY
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75040-1069
Country	:	US
Telephone Number	:	214-997-3657
Fax Number	:

Provider Business Practice Location Address
First Line	:	347 W JEFFERSON BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-4602
Country	:	US
Telephone Number	:	972-290-0903
Fax Number	:

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

Provider Enumeration Date	:	06/22/2017
Last Update Date	:	01/15/2024

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