Provider Demographics
NPI:1033490073
Name:TRAN, JAMIE H (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:H
Last Name:TRAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:JAMIE
Other - Middle Name:H
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:30212 TOMAS STE 260
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-2176
Mailing Address - Country:US
Mailing Address - Phone:949-264-6744
Mailing Address - Fax:
Practice Address - Street 1:30212 TOMAS STE 260
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2176
Practice Address - Country:US
Practice Address - Phone:949-264-6744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-05
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA629051223E0200X, 1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics