Healthcare Provider Details

I. General information

NPI: 1831382787
Provider Name (Legal Business Name): CYNTHIA PAULINA TRAJTENBERG DDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA PAULINA TRAJTENBERG DDS, MS

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 UNION AVE RM C514
MEMPHIS TN
38103-3513
US

IV. Provider business mailing address

875 UNION AVE RM C514
MEMPHIS TN
38103-3513
US

V. Phone/Fax

Practice location:
  • Phone: 713-501-3881
  • Fax: 901-448-1294
Mailing address:
  • Phone: 713-501-3881
  • Fax: 901-448-1294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberF-22008
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number13048
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: