Healthcare Provider Details

I. General information

NPI: 1316851892
Provider Name (Legal Business Name): TRAN DENTISTRY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1692 TULLY RD STE 18
SAN JOSE CA
95122-2551
US

IV. Provider business mailing address

1692 TULLY RD STE 18
SAN JOSE CA
95122-2551
US

V. Phone/Fax

Practice location:
  • Phone: 408-550-3128
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: SEBASTIAN TRAN
Title or Position: CEO
Credential: DMD
Phone: 408-550-3128