MEDICARE: FAIR OAKS DENTAL, PA

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	21004	TX

General Provider Information

NPI Number	:	1194901744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAIR OAKS DENTAL, PA

Provider Business Mailing Address
First Line	:	9091 FAIR OAKS PKWY
Second Line	:	SUITE 304
City	:	FAIR OAKS RANCH
State	:	TX
Zip	:	78015
Country	:	US
Telephone Number	:	210-698-9100
Fax Number	:

Provider Business Practice Location Address
First Line	:	9091 FAIR OAKS PKWY
Second Line	:	SUITE 304
City	:	FAIR OAKS RANCH
State	:	TX
Zip	:	78015
Country	:	US
Telephone Number	:	210-698-9100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HUYEN ALLISON TRAN
Credential	:	D.D.S.
Telephone Number	:	210-698-9100

Provider Enumeration Date	:	01/14/2008
Last Update Date	:	01/15/2008

Similar Medicare Providers

1013918242 — CARLOS PORTER M.D.
Practice Location Address:

9091 FAIR OAKS PKWY STE 301
FAIR OAKS RANCH, TX
78015-4690

Practice Phone: 210-903-2002
Practice Fax:

1265425649 — DAVID FLOWERS
Practice Location Address:

29719 FAIRWAY BLUFF DR
FAIR OAKS RANCH, TX
78015-4473

Practice Phone: 830-388-0358
Practice Fax:

1881660819 — DR. THOMAS EDWARD SOUTHERLAND DO
Practice Location Address:

7807 SENDERO RIDGE DR
FAIR OAKS RANCH, TX
78015-4754

Practice Phone: 210-698-6411
Practice Fax:

1114940871 — SUZANNE PITTS MD
Practice Location Address:

28235 EQUESTRIAN
FAIR OAKS RANCH, TX
78015-4656

Practice Phone: 210-698-3144
Practice Fax:

1831213255 — MS. RHONDA B OTWAY MFT
Practice Location Address:

8000 FAIR OAKS PKWY , SUITE 204
FAIR OAKS RANCH, TX
78015-4739

Practice Phone: 830-302-8540
Practice Fax: 925-901-0234

1053520718 — KAREN LEE BROCHUE, PC
Practice Location Address:

7570 KEENELAND DR
FAIR OAKS RANCH, TX
78015-4249

Practice Phone: 210-857-0410
Practice Fax:

Directions to “FAIR OAKS DENTAL, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.