Healthcare Provider Details

I. General information

NPI: 1700722733
Provider Name (Legal Business Name): TOMMY DANG DMD A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8884 KNOTT AVE
BUENA PARK CA
90620-4135
US

IV. Provider business mailing address

8884 KNOTT AVE
BUENA PARK CA
90620-4135
US

V. Phone/Fax

Practice location:
  • Phone: 714-816-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: TOMMY DANG
Title or Position: DMD
Credential:
Phone: 714-353-6887