Phat L Tran DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40035 Issued in CA

Legal business name

PHAT L TRAN DMD INC

Practice address

14411 Brookhurst St
Suite B
Garden Grove, CA 92843-4667

Phone

(714) 775-7561

Fax

(714) 775-7550

NPI assigned

Jan 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Phat L Tran, DMDNPI 1184847162

Title

President

Phone

(714) 775-7561

Specialties & licenses 1

Addresses

Other names 1

• PHAT L TRAN DMD, INC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phat Tran, DMD

  • Dentist
  • Garden Grove, CA
  • NPI 1184847162
  NPD Authorized official

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1780007989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 BROOKHURST ST",
            "address_2": "SUITE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434667",
            "telephone_number": "714-775-7561",
            "fax_number": "714-775-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 BROOKHURST ST",
            "address_2": "SUITE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434667",
            "telephone_number": "714-775-7561",
            "fax_number": "714-775-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAT L TRAN DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "PHAT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-775-7561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHAT L TRAN DMD, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susie N Phan, PHARM.D
• Thaibinh Tran Phan, M.D.
• Thuan Ngoc Phan, D.C.
• Tuan Phan
• Vu Huy Phan, D.C, FNP-C, L.AC
• Phil Trinh, DDS.,Inc
• Carmen Sabri Philip
• Patricia Phillips
• Phoenix Star Insurance
• Teve Thongvanh Phommavongsa

• General Practice Dentistry in Garden Grove, CA
• Providers in Garden Grove, 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 Jan 11, 2022; 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.