Healthcare Provider Details

I. General information

NPI: 1508786096
Provider Name (Legal Business Name): EMILY DUONG DDS MS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 MERICORT
IRVINE CA
92602-2474
US

IV. Provider business mailing address

6 MERICORT
IRVINE CA
92602-2474
US

V. Phone/Fax

Practice location:
  • Phone: 714-474-9247
  • Fax:
Mailing address:
  • Phone: 714-474-9247
  • 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: EMILY DUONG
Title or Position: ORTHODONTIST
Credential: DDS, MS
Phone: 714-474-9247