MEDICARE: DR. JENNIFER MARY 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
1	1223G0001X	General Practice Dentistry	0401415675	VA

General Provider Information

NPI Number	:	1639609571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER MARY TRAN DDS

Provider Business Mailing Address
First Line	:	1612 HUGUENOT ROAD
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23113
Country	:	US
Telephone Number	:	804-791-9789
Fax Number	:	804-419-1059

Provider Business Practice Location Address
First Line	:	12040 W BROAD ST
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23233-7689
Country	:	US
Telephone Number	:	804-364-7010
Fax Number	:	804-364-7017

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

Provider Enumeration Date	:	06/14/2017
Last Update Date	:	08/26/2021

Similar Medicare Providers

1831287358 — LEONARD BRINKLEY WHITESIDE III OD
Practice Location Address:

12018 W BROAD ST , SUITE 100
HENRICO, VA
23233-7689

Practice Phone: 804-287-1380
Practice Fax: 804-287-1384

1528336385 — EYE SURGEONS OF RICHMOND, INC.
Practice Location Address:

12018 W BROAD ST , SUITE 100
HENRICO, VA
23233-7689

Practice Phone: 804-287-4200
Practice Fax: 804-287-4210

1164031183 — DR. LONG TUONG NGUYEN SR. DDS
Practice Location Address:

12040 W BROAD ST
HENRICO, VA
23233-7689

Practice Phone: 804-364-7010
Practice Fax:

1568212546 — PARKER LOESCH
Practice Location Address:

12042 W BROAD ST
RICHMOND, VA
23233-7689

Practice Phone: 804-251-3915
Practice Fax:

1427549245 — PHYSICAL MEDICINE ASSOCIATES, LTD
Practice Location Address:

1630 WILKES RIDGE PKWY STE 203
HENRICO, VA
23233-7460

Practice Phone: 804-270-7262
Practice Fax:

1841294824 — DR. PAUL SHERMAN BROWN JR. MD
Practice Location Address:

2205 MCCABES GRANT CT
HENRICO, VA
23233-8713

Practice Phone: 804-709-6808
Practice Fax: 804-681-0445

Directions to “ DR. JENNIFER MARY TRAN DDS” 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 © 2007-2025 (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.