Provider Demographics
NPI:1700172004
Name:TRAN, DOAN QUOC (DDS)
Entity Type:Individual
Prefix:
First Name:DOAN
Middle Name:QUOC
Last Name:TRAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 TW ALEXANDER DR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-6815
Mailing Address - Country:US
Mailing Address - Phone:919-436-4200
Mailing Address - Fax:919-590-1855
Practice Address - Street 1:2121 TW ALEXANDER DR
Practice Address - Street 2:SUITE 109
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-6815
Practice Address - Country:US
Practice Address - Phone:919-436-4200
Practice Address - Fax:919-590-1855
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9118122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist