MEDICARE: AH DENTAL 2 PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1053848630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AH DENTAL 2 PLLC

Provider Business Mailing Address
First Line	:	6619 FOREST HILL DR STE 55
Second Line	:
City	:	FOREST HILL
State	:	TX
Zip	:	76140-1260
Country	:	US
Telephone Number	:	817-483-0188
Fax Number	:

Provider Business Practice Location Address
First Line	:	11411 E NORTHWEST HWY STE 101
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-1445
Country	:	US
Telephone Number	:	972-342-6705
Fax Number	:

Authorized Official
Title or Position	:	DDS/ OWNER
Name	:	ANTHONY HOANG
Credential	:
Telephone Number	:	972-342-6705

Provider Enumeration Date	:	05/15/2017
Last Update Date	:	06/06/2023

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Directions to “AH DENTAL 2 PLLC ” Practice Location

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