Provider Demographics
NPI:1639182009
Name:TRAN, QUANG NHAT (DDS)
Entity Type:Individual
Prefix:DR
First Name:QUANG
Middle Name:NHAT
Last Name:TRAN
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 1:9917 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-5209
Mailing Address - Country:US
Mailing Address - Phone:301-593-9299
Mailing Address - Fax:877-299-3470
Practice Address - Street 1:18220 CONTOUR RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20877-2623
Practice Address - Country:US
Practice Address - Phone:301-208-0002
Practice Address - Fax:877-299-3470
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD133861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice