Active NPI
Thanh Huu Truong, DDS
- General Practice Dentistry
- Yukon, OK
National Provider Identifier
1184368722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7593
- Practice address
- 12444 NW 10TH St Ste 107
Yukon, OK 73099-5844 - Phone
- (405) 708-7702
- NPI assigned
- Apr 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OK | ||
| General Practice Dentistry | 1223G0001X | 7593 | OK | Primary |
Addresses
Primary practice location
12444 NW 10TH St Ste 107
Yukon, OK 73099-5844
Mailing address
4110 W Kent CT
Broken Arrow, OK 74012-9488
Phone (918) 428-8961
Other practice location 1
1201 N Stonewall Ave
Oklahoma City, OK 73117-1214
Phone (405) 271-2380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7593 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summer Dental Yukon, PLLC | General Practice | Past | Accepting new patients |
| Okc 89TH Dental, PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Oklahoma City, OK
- NPI 1215470497
-
- General Practice Dentistry
- Yukon, OK
- NPI 1609380005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1184368722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 W KENT CT",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740129488",
"telephone_number": "918-428-8961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12444 NW 10TH ST STE 107",
"city": "YUKON",
"state": "OK",
"postal_code": "730995844",
"telephone_number": "405-708-7702"
}
],
"practiceLocations": [
{
"address_1": "1201 N Stonewall Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731171214",
"country_code": "US",
"telephone_number": "405-271-2380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRUONG",
"first_name": "THANH",
"middle_name": "HUU",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-20",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OK",
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "7593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.