Provider Demographics
NPI:1760866743
Name:TRAN, DUYEN-ANH (DDS)
Entity Type:Individual
Prefix:DR
First Name:DUYEN-ANH
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 SUMMERLAND KEY LN
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-5191
Mailing Address - Country:US
Mailing Address - Phone:337-787-4126
Mailing Address - Fax:
Practice Address - Street 1:825 E BROUSSARD RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508
Practice Address - Country:US
Practice Address - Phone:337-210-8896
Practice Address - Fax:337-210-8027
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-19
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6730122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist