MEDICARE: DR. VINH QUANG TRAN DDS

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	1223X0008X	Oral and Maxillofacial Radiology Dentistry	S9-03	NV
2	1223X0008X	Oral and Maxillofacial Radiology Dentistry	DT-2536	HI

General Provider Information

NPI Number	:	1073950143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VINH QUANG TRAN DDS

Provider Business Mailing Address
First Line	:	900 FORT STREET MALL STE 1900
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-3705
Country	:	US
Telephone Number	:	808-529-9213
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 FORT STREET MALL STE 1900
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-3705
Country	:	US
Telephone Number	:	808-529-9213
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2013
Last Update Date	:	04/18/2025

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