Healthcare Provider Details

I. General information

NPI: 1992166326
Provider Name (Legal Business Name): THANH KIM HONG, DMD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2016
Last Update Date: 03/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2955 ELDORADO PKWY STE 110
FRISCO TX
75033-7200
US

IV. Provider business mailing address

2955 ELDORADO PKWY STE 110
FRISCO TX
75033-7200
US

V. Phone/Fax

Practice location:
  • Phone: 469-294-4239
  • Fax:
Mailing address:
  • Phone: 469-294-4239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number24298
License Number StateTX

VIII. Authorized Official

Name: DR. THANH K HONG
Title or Position: DENTIST
Credential: DMD
Phone: 469-294-4239