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Provider Information for 1538127188

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. THIEN T TANG D.D.S.

Gender: MALE

Individual NPI: 1538127188

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1538127188
Enumeration Date 2006-05-03
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1450 W HORIZON RIDGE PKWY SUITE B-311
HENDERSON, NV 89012-4477
United States

Phone: 702-565-0795 | Fax: 702-563-0205
View Map External Link
Primary Practice Address 1450 W HORIZON RIDGE PKWY SUITE B-311
HENDERSON, NV 89012-4477
United States

Phone: 702-565-0795 | Fax: 702-563-0205
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NV 4284