Provider Demographics
NPI:1578964029
Name:ANDREW HUYNH TRAN DDS PA
Entity Type:Organization
Organization Name:ANDREW HUYNH TRAN DDS PA
Other - Org Name:GALLERIA SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:HUYNH
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-831-5417
Mailing Address - Street 1:5000 WESTHEIMER RD STE 630
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-5619
Mailing Address - Country:US
Mailing Address - Phone:832-831-5417
Mailing Address - Fax:
Practice Address - Street 1:5000 WESTHEIMER RD STE 630
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5619
Practice Address - Country:US
Practice Address - Phone:832-831-5417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX280571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty