Anthony Hoang

Individual provider Active NPI General Practice Dentistry · Forest Hill, TX

NPI 1457560989 · NPPES record last updated Jun 6, 2023

Key facts

NPI
1457560989
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
23242 (TX)
Practice address
6619 Forest Hill Dr Ste 55
Forest Hill, TX 76140-1260
Phone
(817) 572-5580
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20151201000390 TX Order and Referring Only - Dentist
Practitioner - Dentist
3779883558

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
23242TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ah Dental 2 PLLC Current
since Jun 11, 2023
Accepting new patients
A.H. Dental, P.C. General Practice Past
since Jun 11, 2023
Accepting new patients

Locations

6619 Forest Hill Dr
Ste 55
Forest Hill, TX 76140
Phone (817) 572-5580

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23242 TX Yes

Addresses

Primary practice location

6619 Forest Hill Dr Ste 55
Forest Hill, TX 76140-1260

Mailing address

6619 Forest Hill Dr Ste 55
Forest Hill, TX 76140-1260
Phone (817) 483-0188

Other providers in Forest Hill, TX

All providers in Forest Hill, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.