Healthcare Provider Details

I. General information

NPI: 1811821911
Provider Name (Legal Business Name): TORI TRAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 SNELLING AVE N STE 110
SAINT PAUL MN
55104-6756
US

IV. Provider business mailing address

91 SNELLING AVE N STE 110
SAINT PAUL MN
55104-6756
US

V. Phone/Fax

Practice location:
  • Phone: 651-646-3735
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD15479
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: