Tam S Truong a Professional Dental Hygiene Corp.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

TAM S TRUONG A PROFESSIONAL DENTAL HYGIENE CORP.

Practice address

1419 Superior Ave #6
Newport Beach, CA 92663

Phone

(949) 646-4300

NPI assigned

Mar 1, 2023

Organization subpart

No

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

Authorized official

Name

Tam Sy Truong, RDHAP

Title

Dental Hygienic With Advance Practi

Phone

(949) 646-4300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1619676384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 SUPERIOR AVE #6",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-646-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 SUPERIOR AVE #6",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-646-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAM S TRUONG A PROFESSIONAL DENTAL HYGIENE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "TAM",
        "authorized_official_middle_name": "SY",
        "authorized_official_title_or_position": "DENTAL HYGIENIC WITH ADVANCE PRACTI",
        "authorized_official_telephone_number": "949-646-4300",
        "authorized_official_credential": "RDHAP"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.