Organization Active NPI

Tran & Le DDS LLC

Doing business as TLC Modern Dentistry LLC

  • Dentist
  • Silver Spring, MD
National Provider Identifier
1275727034
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TRAN & LE DDS LLC
Doing business as
TLC Modern Dentistry LLC
Practice address
13623 Georgia Ave Ste H-I
Silver Spring, MD 20906-5200
Phone
(301) 933-1401
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Dr. Larry Nicholas Callahan III, PH.D.
Title
Practice Manager
Phone
(240) 888-8947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

13623 Georgia Ave Ste H-I
Silver Spring, MD 20906-5200

Mailing address

13623 Georgia Ave Ste H-I
Silver Spring, MD 20906-5200
Phone (301) 933-1401

Other practice location 1

13019 Wisteria Dr
Germantown, MD 20874-2621
Phone (301) 567-7269

Other names 1

  • TLC Modern Dentistry LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
TLC Modern Dentistry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

13623 Georgia Ave
Ste Hi
Silver Spring, MD 20906
Phone (301) 933-1401

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1275727034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13623 GEORGIA AVE STE H-I",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065200",
            "telephone_number": "301-933-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13623 GEORGIA AVE STE H-I",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065200",
            "telephone_number": "301-933-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13019 Wisteria Dr",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208742621",
            "country_code": "US",
            "telephone_number": "301-567-7269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRAN & LE DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "240-888-8947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Modern Dentistry LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.