Healthcare Provider Details

I. General information

NPI: 1376561217
Provider Name (Legal Business Name): REX HIEP HOANG DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 02/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 24TH ST NW STE 9
WASHINGTON DC
20037-2502
US

IV. Provider business mailing address

730 24TH ST NW STE 9
WASHINGTON DC
20037-2502
US

V. Phone/Fax

Practice location:
  • Phone: 202-333-9282
  • Fax: 888-750-7949
Mailing address:
  • Phone: 202-333-9282
  • Fax: 888-750-7049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number10778
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN5295
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: