Provider Demographics
NPI:1346629946
Name:TRINH, JOHNNY (DDS)
Entity Type:Individual
Prefix:
First Name:JOHNNY
Middle Name:
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 1:11334 BARRETT BRAE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-4208
Mailing Address - Country:US
Mailing Address - Phone:832-788-5742
Mailing Address - Fax:
Practice Address - Street 1:16717 W. AIRPORT BLVD
Practice Address - Street 2:#130
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407
Practice Address - Country:US
Practice Address - Phone:832-788-5742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-28
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30916122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist