Provider Demographics
NPI:1346802469
Name:TRAMMIE BUI D.D.S., INC
Entity Type:Organization
Organization Name:TRAMMIE BUI D.D.S., INC
Other - Org Name:RADIANT SMILE DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRAMMIE
Authorized Official - Middle Name:BAO-PHUONG
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-258-5682
Mailing Address - Street 1:228 N JACKSON AVE STE 50
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1602
Mailing Address - Country:US
Mailing Address - Phone:408-258-5682
Mailing Address - Fax:408-258-4348
Practice Address - Street 1:228 N JACKSON AVE STE 50
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1602
Practice Address - Country:US
Practice Address - Phone:408-258-5682
Practice Address - Fax:408-258-4348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-29
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty