1902011927 NPI number — DR. YEN THI NGOC TRAN D.D.S.

Table of content: DR. YEN THI NGOC TRAN D.D.S. (NPI 1902011927)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902011927 NPI number — DR. YEN THI NGOC TRAN D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TRAN
Provider First Name:
YEN
Provider Middle Name:
THI NGOC
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902011927
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1332 S PLANO RD
Provider Second Line Business Mailing Address:
STE 520
Provider Business Mailing Address City Name:
RICHARDSON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75081-5956
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-669-8888
Provider Business Mailing Address Fax Number:
972-669-1981

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1332 S PLANO RD
Provider Second Line Business Practice Location Address:
STE 520
Provider Business Practice Location Address City Name:
RICHARDSON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75081-5956
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-669-8888
Provider Business Practice Location Address Fax Number:
972-669-1981
Provider Enumeration Date:
05/12/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  19373 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: D19373 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1306074 . This is a "UNITED CONCORDIA INS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: B19373-01 . This is a "DELTA DENTAL" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".