Provider Demographics
NPI:1003305806
Name:TRINH, DUKE TIEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DUKE
Middle Name:TIEN
Last Name:TRINH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2227 BRAKEMAN LN
Mailing Address - Street 2:
Mailing Address - City:THOMPSONS STATION
Mailing Address - State:TN
Mailing Address - Zip Code:37179-2952
Mailing Address - Country:US
Mailing Address - Phone:937-416-9050
Mailing Address - Fax:
Practice Address - Street 1:1033 SGT ASBURY HAWN WAY
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-3440
Practice Address - Country:US
Practice Address - Phone:615-437-0469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0254001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice