Provider Demographics
NPI:1003297326
Name:TRAN, LINH CHUC (DMD)
Entity Type:Individual
Prefix:DR
First Name:LINH
Middle Name:CHUC
Last Name:TRAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 HIGROVE PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:AL
Mailing Address - Zip Code:35094-1705
Mailing Address - Country:US
Mailing Address - Phone:205-699-1155
Mailing Address - Fax:205-655-1158
Practice Address - Street 1:1101 HIGROVE PKWY STE 105
Practice Address - Street 2:
Practice Address - City:LEEDS
Practice Address - State:AL
Practice Address - Zip Code:35094-1705
Practice Address - Country:US
Practice Address - Phone:205-699-1155
Practice Address - Fax:205-655-1158
Is Sole Proprietor?:No
Enumeration Date:2015-06-11
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6193122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist