Healthcare Provider Details

I. General information

NPI: 1740929363
Provider Name (Legal Business Name): DIANA HOANG DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2022
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7456 CABIN LN
SARASOTA FL
34240-1268
US

IV. Provider business mailing address

7456 CABIN LN
SARASOTA FL
34240-1268
US

V. Phone/Fax

Practice location:
  • Phone: 352-871-2402
  • Fax:
Mailing address:
  • Phone: 352-871-2402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN31207
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN1859438
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: