Healthcare Provider Details

I. General information

NPI: 1104742428
Provider Name (Legal Business Name): SEAN C. TRUONG, DMD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9061 W SAHARA AVE STE 101
LAS VEGAS NV
89117-5797
US

IV. Provider business mailing address

9061 W SAHARA AVE STE 101
LAS VEGAS NV
89117-5797
US

V. Phone/Fax

Practice location:
  • Phone: 702-877-0500
  • Fax:
Mailing address:
  • Phone: 702-877-0500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SEAN C TRUONG
Title or Position: MANAGER
Credential: DMD
Phone: 702-417-3057