MEDICARE: DR. DYLAN TRUONG 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	1223G0001X	General Practice Dentistry	42311	TX

General Provider Information

NPI Number	:	1548190960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DYLAN TRUONG DDS

Provider Business Mailing Address
First Line	:	5900 BALCONES DR STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4298
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2221 W LEDBETTER DR STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-4746
Country	:	US
Telephone Number	:	214-234-8444
Fax Number	:

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

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “ DR. DYLAN TRUONG DDS” Practice Location

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