MEDICARE: DR. JANET DIEM TRAN D.D.S.

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	20556	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679675011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET DIEM TRAN D.D.S.

Provider Business Mailing Address
First Line	:	717 S GREENVILLE AVE
Second Line	:	SUITE 114
City	:	ALLEN
State	:	TX
Zip	:	75002-3317
Country	:	US
Telephone Number	:	214-547-8628
Fax Number	:	214-547-8675

Provider Business Practice Location Address
First Line	:	717 S GREENVILLE AVE
Second Line	:	SUITE 114
City	:	ALLEN
State	:	TX
Zip	:	75002-3317
Country	:	US
Telephone Number	:	214-547-8628
Fax Number	:	214-547-8675

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

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	03/21/2025

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