Dr - Duncanville, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20960 Issued in TX

Legal business name

DR - DUNCANVILLE, LLC

Practice address

406 E Camp Wisdom Rd
Duncanville, TX 75116-2708

Phone

(972) 780-1100

NPI assigned

Dec 28, 2009

Organization subpart

No

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

Authorized official

Name

Son Tran, DDS

Title

President/Dentist

Phone

(972) 747-1400

Specialties & licenses 1

Addresses

Other names 1

• Dental Republic Doing business as

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1295065183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 WORTHINGTON ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042503",
            "telephone_number": "972-747-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E CAMP WISDOM RD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751162708",
            "telephone_number": "972-780-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR - DUNCANVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "SON",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "972-747-1400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Republic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna J Barefield DDS PC
• Dominique Dor, M.A, L.P.C
• Ronald Lee Dotson, M.D.
• William G Dover, O.D.
• Queshena Dowell
• Dr Mija Jackson Lee PLLC
• Dr Tracey L Yothers, OD
• Brett Warren Duke
• Marcellous Dunbar, DC
• Duncanville Children'S Pediatric Care PLLC

• General Practice Dentistry in Duncanville, TX
• Providers in Duncanville, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.