Healthcare Provider Details

I. General information

NPI: 1811650229
Provider Name (Legal Business Name): ALEX DANG DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2021
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 VALLE VISTA AVE STE 150
VALLEJO CA
94589-2886
US

IV. Provider business mailing address

651 DERBYSHIRE PL
DANVILLE CA
94526-3606
US

V. Phone/Fax

Practice location:
  • Phone: 707-557-5822
  • Fax:
Mailing address:
  • Phone: 707-557-5822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number106833
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: