MEDICARE: AMANDA TRAN DMD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1073465381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMANDA TRAN DMD PLLC

Provider Business Mailing Address
First Line	:	5805 COIT RD STE 101
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-6990
Country	:	US
Telephone Number	:	972-612-2610
Fax Number	:	972-612-0724

Provider Business Practice Location Address
First Line	:	5805 COIT RD STE 101
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-6990
Country	:	US
Telephone Number	:	972-612-2610
Fax Number	:	972-612-0724

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AMANDA TRAN
Credential	:	DMD
Telephone Number	:	972-612-2610

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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