Provider Demographics
NPI:1063621688
Name:THANG, NGUYEN N (DMD)
Entity type:Individual
Prefix:DR
First Name:NGUYEN
Middle Name:N
Last Name:THANG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:N
Other - Last Name:THANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:8138 S. KIRKWOOD
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072
Mailing Address - Country:US
Mailing Address - Phone:281-568-4441
Mailing Address - Fax:281-568-4463
Practice Address - Street 1:8138 S. KIRKWOOD
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072
Practice Address - Country:US
Practice Address - Phone:281-568-4441
Practice Address - Fax:281-568-4463
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice