Provider Demographics
NPI:1386201366
Name:TNN DENTAL, PLLC
Entity Type:Organization
Organization Name:TNN DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HIEU
Authorized Official - Middle Name:TIN
Authorized Official - Last Name:NGUYEN PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-616-9175
Mailing Address - Street 1:5547 HIGHWAY 6 N
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-1827
Mailing Address - Country:US
Mailing Address - Phone:408-616-9175
Mailing Address - Fax:
Practice Address - Street 1:23896 TX-494 LOOP
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365
Practice Address - Country:US
Practice Address - Phone:408-616-9175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-24
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental