Xuan Kim Tran, DDS
Individual provider Active NPI General Practice Dentistry · Bladenboro, NC
NPI 1801005467 · NPPES record last updated Jun 28, 2010
Key facts
- NPI
- 1801005467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8994 (NC)
- Practice address
- 104 4TH Street
Bladenboro, NC 28320 - Phone
- (504) 339-5553
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8994 | NC | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5826 | LA | |
| General Practice Dentistry | 1223G0001X | 8994 | NC | Yes |
Addresses
Primary practice location
104 4TH Street
Bladenboro, NC 28320
Mailing address
104 4TH Street
Bladenboro, NC 28320
Phone (504) 339-5553
Other providers in Bladenboro, NC
- Singletary Family Care Home #2
- Jerry Howard Smith Jr.
- The Meadows of Hermitage Inc
- The Skin & Wellness Center PLLC
- Total Renal Care of North Carolina, LLC
- Kelly Turner
- Turner'S Family Care Home
- Turner'S Family Care Home, LLC
- Victory Medical PLLC
- Jonathan Z Wang
All providers in Bladenboro, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.