Healthcare Provider Details

I. General information

NPI: 1326480153
Provider Name (Legal Business Name): LINDA HOA TRAN HUANG D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 10/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3720 CUNNINGHAM RD
KNOXVILLE TN
37918-5303
US

IV. Provider business mailing address

3720 CUNNINGHAM RD
KNOXVILLE TN
37918-5303
US

V. Phone/Fax

Practice location:
  • Phone: 865-922-7469
  • Fax:
Mailing address:
  • Phone: 865-922-7469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number9664
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: