Provider Demographics
NPI:1609428614
Name:HOANG, MI (DMD)
Entity type:Individual
Prefix:DR
First Name:MI
Middle Name:
Last Name:HOANG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 N 40TH AVE STE G
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39401-6663
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:68 OLD AIRPORT RD
Practice Address - Street 2:PO BOX 1729
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39403
Practice Address - Country:US
Practice Address - Phone:601-545-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS4079-19122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist