Healthcare Provider Details

I. General information

NPI: 1932729480
Provider Name (Legal Business Name): JOSEPH TRAN DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2020
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1833 MOUNT ZION RD
MORROW GA
30260-3015
US

IV. Provider business mailing address

95 8TH ST NW APT 1801
ATLANTA GA
30309-4576
US

V. Phone/Fax

Practice location:
  • Phone: 770-758-3640
  • Fax:
Mailing address:
  • Phone: 610-755-2060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDS043165
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDN122993
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: