Healthcare Provider Details

I. General information

NPI: 1962349456
Provider Name (Legal Business Name): BRIAN T. LUONG DMD MBA MS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5753 E SANTA ANA CANYON RD STE K
ANAHEIM CA
92807-3230
US

IV. Provider business mailing address

5753 E SANTA ANA CANYON RD STE K
ANAHEIM CA
92807-3230
US

V. Phone/Fax

Practice location:
  • Phone: 714-998-4700
  • Fax:
Mailing address:
  • Phone: 714-998-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: BRIAN LUONG
Title or Position: OWNER
Credential: DMD
Phone: 714-366-2032