Provider Demographics
NPI:1558048611
Name:TRAN & JAVED 2 DDS PA
Entity Type:Organization
Organization Name:TRAN & JAVED 2 DDS PA
Other - Org Name:MATTHEWS DENTAL SPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-246-7551
Mailing Address - Street 1:3090 SENNA DR
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-6726
Mailing Address - Country:US
Mailing Address - Phone:704-941-8108
Mailing Address - Fax:
Practice Address - Street 1:3090 SENNA DR
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-6726
Practice Address - Country:US
Practice Address - Phone:704-941-8108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty