Provider Demographics
NPI:1639541667
Name:TRAN DENTAL CARE PC
Entity Type:Organization
Organization Name:TRAN DENTAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE DEPARTMENT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:
Authorized Official - Last Name:PISCHINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-522-2028
Mailing Address - Street 1:2101 S JONES BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-3175
Mailing Address - Country:US
Mailing Address - Phone:702-522-2269
Mailing Address - Fax:702-990-8856
Practice Address - Street 1:4333 LAS VEGAS BLVD N STE A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115
Practice Address - Country:US
Practice Address - Phone:702-660-3196
Practice Address - Fax:702-660-3195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-29
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS3-162122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty