Provider Demographics
NPI:1275727034
Name:TRAN & LE DDS LLC
Entity type:Organization
Organization Name:TRAN & LE DDS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:CALLAHAN
Authorized Official - Suffix:III
Authorized Official - Credentials:PHD
Authorized Official - Phone:240-888-8947
Mailing Address - Street 1:13623 GEORGIA AVE STE H-I
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-5200
Mailing Address - Country:US
Mailing Address - Phone:301-933-1401
Mailing Address - Fax:
Practice Address - Street 1:13623 GEORGIA AVE STE H-I
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-5200
Practice Address - Country:US
Practice Address - Phone:301-933-1401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty