Provider Demographics
NPI:1225202849
Name:TRINH, THOMAS N (DDS)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:N
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 1:8817 BARIUM ROCK AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89143-1370
Mailing Address - Country:US
Mailing Address - Phone:702-645-5965
Mailing Address - Fax:
Practice Address - Street 1:235 N EASTERN AVE
Practice Address - Street 2:#107
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-4542
Practice Address - Country:US
Practice Address - Phone:702-452-5751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4555122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist