Dr. Quynh Tram T. Truong, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47426 Issued in CA

Legal business name

DR. QUYNH TRAM T. TRUONG, DDS, INC

Practice address

6000 Camino Real
Riverside, CA 92509-5362

Phone

(951) 360-0000

Fax

(951) 616-2036

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Quynh Tram Truong, DDS

Title

Dentist

Phone

(951) 360-0000

Specialties & licenses 1

Addresses

Other names 1

• 123 Smile Dental Care Doing business as

Tax ID family

123 Smile Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Quynh Tram T Truong DDS Inc

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1073733697
  NPD tax ID

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598822769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 CAMINO REAL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925095362",
            "telephone_number": "951-360-0000",
            "fax_number": "951-616-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 CAMINO REAL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925095362",
            "telephone_number": "951-360-0000",
            "fax_number": "951-616-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. QUYNH TRAM T. TRUONG, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "QUYNH",
        "authorized_official_middle_name": "TRAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "951-360-0000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "123 Smile Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Riverside, CA
• Providers in Riverside, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.