Quynh Tram T Truong DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47426 Issued in CA

Legal business name

QUYNH TRAM T TRUONG DDS INC

Practice address

1641 E 17TH St
Suite B
Santa Ana, CA 92705-8535

Phone

(714) 542-7400

Fax

(714) 543-3536

NPI assigned

Apr 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Quynh-Tram Thi Truong, D.D.S.

Title

Ceo

Phone

(714) 542-7400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 123 Smile Dental Care Doing business as

Tax ID family

123 Smile Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Quynh Tram T. Truong, DDS, Inc

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1598822769
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Helen Lin-Hsuan Shih, D.D.S

  • Dentist
  • Santa Ana, CA
  • NPI 1073777421
  NPD (past)
• Quynh Truong, DDS

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1881692424
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073733697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 E 17TH ST",
            "address_2": "SUITE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058535",
            "telephone_number": "714-542-7400",
            "fax_number": "714-543-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 E 17TH ST",
            "address_2": "SUITE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058535",
            "telephone_number": "714-542-7400",
            "fax_number": "714-543-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUYNH TRAM T TRUONG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "QUYNH-TRAM",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-542-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL ID NUMBER",
            "identifier": "G93018",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "123 Smile Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cynthia Jean Rabe
• Ahmed Rabie, DDS

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.