Long Dang Tran D.D.S. , Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51148 Issued in CA

Legal business name

LONG DANG TRAN D.D.S. , INC

Doing business as

UNIVERSITY SQUARE DENTAL, PRACTICE OF LONG DANG TRAN DDS, INC

Practice address

5971 University Ave Ste 309
San Diego, CA 92115-6334

Phone

(619) 229-9935

NPI assigned

Feb 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Long Dang Long, DDS

Title

President

Phone

(619) 264-1114

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• UNIVERSITY SQUARE DENTAL, PRACTICE OF LONG DANG TRAN DDS, INC Doing business as

Tax ID family

Highland Dental Dental Practice of Long Dang Tran DDS Inc2 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.

• Long Dang Tran D.D.S., Inc.

  • General Practice Dentistry
  • National City, CA
  • NPI 1811169568
  NPD tax ID

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1639491657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5971 UNIVERSITY AVE STE 309",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156334",
            "telephone_number": "619-229-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5971 UNIVERSITY AVE STE 309",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156334",
            "telephone_number": "619-229-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG DANG TRAN D.D.S. , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "LONG",
        "authorized_official_middle_name": "DANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-264-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811169568",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY SQUARE DENTAL, PRACTICE OF LONG DANG TRAN DDS, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheila Ann London
• Jhon Londonoescarria
• Melissa Faina Lone, LAC
• Joseph Tyler Lonergan, M.D.
• Daniel John Loney, LMFT
• Abbe Long, LMFT
• Amanda Long
• Angela Nicole Long, LMFT
• Ann Lee Long, DO
• Ashante Brandon Long

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 Feb 17, 2010; 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.