Provider Demographics
NPI:1700846896
Name:TRAN, DUY ANH (DMD)
Entity Type:Individual
Prefix:DR
First Name:DUY ANH
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14780 SW OSPREY DR
Mailing Address - Street 2:SUITE 240 A
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-8028
Mailing Address - Country:US
Mailing Address - Phone:503-747-0095
Mailing Address - Fax:503-747-0027
Practice Address - Street 1:14780 SW OSPREY DR
Practice Address - Street 2:SUITE 240 A
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97007-8028
Practice Address - Country:US
Practice Address - Phone:503-747-0095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD73601223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics