Healthcare Provider Details

I. General information

NPI: 1831020023
Provider Name (Legal Business Name): DANG DENTAL GROUP, PROFESSIONAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 S STATE COLLEGE BLVD
ANAHEIM CA
92806-4119
US

IV. Provider business mailing address

420 S STATE COLLEGE BLVD
ANAHEIM CA
92806-4119
US

V. Phone/Fax

Practice location:
  • Phone: 714-495-9500
  • Fax:
Mailing address:
  • Phone: 714-495-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD DANG
Title or Position: CFO
Credential: DDS, MD
Phone: 714-495-9500