MEDICARE: HEALTH INNOVATIONS, LLC

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	:	1396961207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH INNOVATIONS, LLC

Provider Business Mailing Address
First Line	:	508 W MCDERMOTT DR
Second Line	:	STE 100
City	:	ALLEN
State	:	TX
Zip	:	75013-2777
Country	:	US
Telephone Number	:	972-747-1400
Fax Number	:

Provider Business Practice Location Address
First Line	:	3211 W NORTHWEST HWY
Second Line	:	STE 100
City	:	DALLAS
State	:	TX
Zip	:	75220-5944
Country	:	US
Telephone Number	:	214-351-0590
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SON TRAN
Credential	:	D.D.S.
Telephone Number	:	972-747-1400

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	04/19/2011

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Directions to “HEALTH INNOVATIONS, LLC ” Practice Location

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