Active NPI
David Truong, DMD
- Dentist
- Tavares, FL
National Provider Identifier
1265167548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27338
- Practice address
- 2140 Lake Eustis Dr
Tavares, FL 32778-2064 - Phone
- (352) 268-1810
- NPI assigned
- Jul 20, 2022
- Last updated
- Jul 20, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 27338 | FL | Primary |
Addresses
Primary practice location
2140 Lake Eustis Dr
Tavares, FL 32778-2064
Mailing address
2501 N Orange Blossom TRL Unit 120
Orlando, FL 32804-4808
Phone (631) 703-5150
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 |
|---|---|---|---|
| 27338 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1265167548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 N ORANGE BLOSSOM TRL UNIT 120",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044808",
"telephone_number": "631-703-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 LAKE EUSTIS DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327782064",
"telephone_number": "352-268-1810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-20",
"last_updated": "2022-07-20",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "27338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.