Provider Demographics
NPI:1225312739
Name:TRAN, NGOCCHI THI (DDS)
Entity Type:Individual
Prefix:DR
First Name:NGOCCHI
Middle Name:THI
Last Name:TRAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CHI
Other - Middle Name:THI
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:11585 ALAMO RANCH PKWY APT 8106
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-6239
Mailing Address - Country:US
Mailing Address - Phone:210-542-7759
Mailing Address - Fax:
Practice Address - Street 1:7107 BLANCO RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-5022
Practice Address - Country:US
Practice Address - Phone:210-366-3939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX271731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice