Provider Demographics
NPI:1003911249
Name:TRAN, HOANG VAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOANG
Middle Name:VAN
Last Name:TRAN
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 1:10914 OLD HAMMOND HWY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-8313
Mailing Address - Country:US
Mailing Address - Phone:225-615-7334
Mailing Address - Fax:225-615-7986
Practice Address - Street 1:5188 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-6527
Practice Address - Country:US
Practice Address - Phone:225-766-8107
Practice Address - Fax:225-766-2382
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA55901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice