Healthcare Provider Details

I. General information

NPI: 1942976428
Provider Name (Legal Business Name): TRI MINH TRINH DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2021
Last Update Date: 08/09/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23945 FRANZ RD STE A
KATY TX
77493-2047
US

IV. Provider business mailing address

8315 LIBERTY SUMMIT LN
RICHMOND TX
77407-5228
US

V. Phone/Fax

Practice location:
  • Phone: 832-437-5895
  • Fax:
Mailing address:
  • Phone: 281-223-1505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number37766
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: