MEDICARE: CINDY NGUYEN-PHI TRAN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	111477	CA
2	1223P0221X	Pediatric Dentistry	27923	TX

General Provider Information

NPI Number	:	1154684058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY NGUYEN-PHI TRAN DMD

Provider Business Mailing Address
First Line	:	9842 ADAMS AVE STE 101
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92646-4827
Country	:	US
Telephone Number	:	714-823-3830
Fax Number	:

Provider Business Practice Location Address
First Line	:	9842 ADAMS AVE STE 101
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92646-4827
Country	:	US
Telephone Number	:	714-823-3830
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2012
Last Update Date	:	09/29/2025

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