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NPI Code Detail

MEDICARE: DR. LINH NGOC TRAN DDS

MEDICARE: DR. LINH NGOC 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
11223G0001XGeneral Practice Dentistry1001030-15WI
21223G0001XGeneral Practice DentistryD12686MN

General Provider Information

NPI Number : 1215164397
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINH NGOC TRAN DDS
Provider Business Mailing Address
First Line : 11920 3RD AVE N
Second Line :
City : PLYMOUTH
State : MN
Zip : 55441-5800
Country : US
Telephone Number : 763-639-5076
Fax Number :
Provider Business Practice Location Address
First Line : 478 ROBERT ST S
Second Line :
City : SAINT PAUL
State : MN
Zip : 55107-2236
Country : US
Telephone Number : 651-602-7575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2009
Last Update Date : 12/10/2025

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