Hang Nguyen, DDS

Individual provider Active NPI General Practice Dentistry · New Iberia, LA

NPI 1811348774 · NPPES record last updated Jun 22, 2016

Key facts

NPI
1811348774
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
6675 (LA)
Practice address
715 N Lewis St
New Iberia, LA 70563-2045
Phone
(337) 256-8658
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6675LAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6675 LA Yes

Addresses

Primary practice location

715 N Lewis St
New Iberia, LA 70563-2045

Mailing address

120 Treasure CV
Lafayette, LA 70508-4479
Phone (318) 791-0507

Other providers in New Iberia, LA

All providers in New Iberia, LA · General Practice Dentistry in Louisiana

Sources for this page

Verify at the official NPI Registry.