Provider Demographics
NPI:1962480673
Name:TRAN, NGOC H (DDS)
Entity Type:Individual
Prefix:DR
First Name:NGOC
Middle Name:H
Last Name:TRAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:1138 N GERMANTOWN PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-5872
Mailing Address - Country:US
Mailing Address - Phone:901-757-9596
Mailing Address - Fax:901-737-3489
Practice Address - Street 1:1138 N GERMANTOWN PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-5872
Practice Address - Country:US
Practice Address - Phone:901-757-9596
Practice Address - Fax:901-737-3489
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN77471223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics