MEDICARE: DR. ANDRE TRAN KLEIN 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	1223G0001X	General Practice Dentistry	D-0007089-C1	AL
2	390200000X	Student in an Organized Health Care Education/Training Program
3	1223G0001X	General Practice Dentistry	7549	LA

General Provider Information

NPI Number	:	1346989555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDRE TRAN KLEIN DMD

Provider Business Mailing Address
First Line	:	2175 SCHILLINGER RD S APT 1905
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36695-6025
Country	:	US
Telephone Number	:	832-971-6656
Fax Number	:

Provider Business Practice Location Address
First Line	:	4243 AMBASSADOR CAFFERY PKWY STE 118
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-7268
Country	:	US
Telephone Number	:	337-422-3587
Fax Number	:

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

Provider Enumeration Date	:	06/03/2022
Last Update Date	:	07/09/2024

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