Provider Demographics
NPI:1861503674
Name:NGUYEN-TRAN, HANHNGAN H (DDS)
Entity Type:Individual
Prefix:DR
First Name:HANHNGAN
Middle Name:H
Last Name:NGUYEN-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 1:445 E 4500 S STE 150
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-3101
Mailing Address - Country:US
Mailing Address - Phone:801-288-0039
Mailing Address - Fax:
Practice Address - Street 1:445 E 4500 S STE 150
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-3101
Practice Address - Country:US
Practice Address - Phone:801-288-0039
Practice Address - Fax:801-288-0096
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT288395-992020011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice