MEDICARE: DR. TUAN ANH TRAN D.D.S.

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	19415	TX

General Provider Information

NPI Number	:	1598713984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TUAN ANH TRAN D.D.S.

Provider Business Mailing Address
First Line	:	5510 ABRAMS RD
Second Line	:	SUITE #104
City	:	DALLAS
State	:	TX
Zip	:	75214-2000
Country	:	US
Telephone Number	:	214-363-1415
Fax Number	:

Provider Business Practice Location Address
First Line	:	5510 ABRAMS RD
Second Line	:	SUITE #104
City	:	DALLAS
State	:	TX
Zip	:	75214-2000
Country	:	US
Telephone Number	:	214-363-1415
Fax Number	:

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	06/03/2023

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