MEDICARE: CALVIN DANG DMD

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	122300000X	Dentist	41372	TX
2	1223G0001X	General Practice Dentistry	41372	TX

General Provider Information

NPI Number	:	1063112266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CALVIN DANG DMD

Provider Business Mailing Address
First Line	:	659 MASSACHUSETTS AVE UNIT 6
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02118-4071
Country	:	US
Telephone Number	:	858-397-8129
Fax Number	:

Provider Business Practice Location Address
First Line	:	2902 S BUCKNER BLVD STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-6967
Country	:	US
Telephone Number	:	469-523-5322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2023
Last Update Date	:	08/08/2025

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Directions to “ CALVIN DANG DMD” Practice Location

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