Organization Active NPI

Le-Truong Dental 1, Inc.

  • Dental Clinic/Center
  • Marysville, OH
National Provider Identifier
1386203230
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LE-TRUONG DENTAL 1, INC.
Practice address
15580 US Highway 36
Marysville, OH 43040-9415
Phone
(801) 703-0399
NPI assigned
Jun 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Hung Khanh Truong, DDS
Title
Owner/President
Phone
(801) 703-0399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

15580 US Highway 36
Marysville, OH 43040-9415

Mailing address

3375 Resort CT
Powell, OH 43065-9260

Other names 1

  • PREMIER DENTAL OF MARYSVILLE Doing business as

National Provider Directory

National Provider Directory

Locations

15580 US Highway 36
Marysville, OH 43040
Phone (801) 703-0399

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1386203230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 RESORT CT",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430659260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15580 US HIGHWAY 36",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430409415",
            "telephone_number": "801-703-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE-TRUONG DENTAL 1, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "HUNG",
        "authorized_official_middle_name": "KHANH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "801-703-0399",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER DENTAL OF MARYSVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.