Tam Truong, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TAM TRUONG, LLC

Practice address

5310 Timuquana Rd # 8049
Jacksonville, FL 32210-8049

Phone

(904) 771-0933

NPI assigned

Dec 8, 2023

Organization subpart

No

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

Authorized official

Name

Tam Truong, DMDNPI 1831741677

Title

Owner

Phone

(714) 234-1071

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tam H Truong, DMD

  • General Practice Dentistry
  • Jacksonville, NC
  • NPI 1831741677
  NPD Authorized official

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1104693118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 SUNDROP WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576182",
            "telephone_number": "714-234-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 TIMUQUANA RD # 8049",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108049",
            "telephone_number": "904-771-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAM TRUONG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "TAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-234-1071",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalil Talib
• Brad Douglas Talley, M.D.
• Nicholas Joseph Talley, M.D.
• Ellen Talos, MD
• Ashna Talwar
• Hin Ching Rachel Tam
• Vance Tam, RPH
• Tama Support Services Inc.
• Mernamie Castardo Taman, ARNP/NURSE PRACTITIO
• Robi E Tamargo, PSYD

• Dental Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.