PHUONG TRAN (NPI# 1194203166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194203166 |
| Entity Type | Individual |
| Full Name | PHUONG TRAN |
| Practice Address |
5615 Hood St Columbia SC 29207-5109 |
| Mailing Address |
6712 Nw 112th St Oklahoma City OK 73162-2978 |
| Practice Telephone | 8037513255 |
| Mailing Telephone | 4058873267 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7073 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518326107 | Phuong Tran | Nurse Practitioner | 207 S Santa Anita St Ste P05, San Gabriel, CA 91776-1159 | 2016-02-11 |
| 1497147227 | Phuong Tran | Counselor | 4300 School Blvd Ste 107, Monticello, MN 55362-4679 | 2015-03-03 |
| 1194142372 | Phuong Tran | Pharmacist | 2115 W Mills Dr, Orange, CA 92868-3429 | 2014-03-25 |
| 1548696990 | Phuong T Tran | Pharmacist | 309 Rolling Hills Circle, Easley, SC 29640 | 2013-09-17 |
| 1689927600 | Phuong Anh Tran | Physical Therapist | 2259-a W. Hillsboro Blvd., Deerfield Beach, FL 33442 | 2012-10-16 |
| 1679841340 | Phuong My Tran | Nurse Practitioner | 10623 Bellaire, Houston, TX 77072-1499 | 2011-12-08 |
| 1407038292 | Phuong Q Tran | Pharmacist | 49 W Fordham Rd, Bronx, NY 10468-5322 | 2007-12-03 |
| 1710197678 | Phuong Huynh Tran | Internal Medicine | 5953 Dallas Pkwy Ste 200b, Plano, TX 75093-8189 | 2007-05-22 |
| 1821137142 | Phuong Lien Tran | Internal Medicine | 5129 North Broadway Street, Suite E, Chicago, IL 60640-3012 | 2007-02-05 |
| 1205908290 | Phuong Tran | Dentist | 1103 S Harbor Blvd Ste D, Santa Ana, CA 92704-2347 | 2006-11-14 |
| Street Address |
5615 HOOD ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29207-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619491461 | Jacquelyn L Wiles | Dentist | 5615 Hood St, Columbia, SC 29207-5109 | 2017-08-02 |
| 1972081875 | Nathan Brooks | Dentist | 5615 Hood St, Columbia, SC 29207-5109 | 2018-08-02 |
| 1578041513 | Daniel Sung-won Kwon | Dentist | 5615 Hood St, Columbia, SC 29207-5109 | 2018-08-01 |
| 1750869707 | Cornelia Mcfadden Duffin | Dentist | 5615 Hood St, Columbia, SC 29207-5109 | 2018-08-01 |
| 1295213254 | Aldrene Manasan | Dentist | 5615 Hood St, Columbia, SC 29207-5109 | 2018-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1730733007 | Forrest Wane Fullenkamp | Student in an Organized Health Care Education/Training Program | 5330 Moseby St, Columbia, SC 29207 | 2019-07-25 |
| 1306401625 | Kayla Anne Wolcott | Pharmacist | Moncrief Army Hospital Outpatient Pharmacy 1 Ft Jackson, Columbia, SC 29207 | 2019-05-02 |
| 1588145098 | Renetta Denise Green | Counselor | Fort Jackson/acs 9810 Lee St, Columbia, SC 29207 | 2018-08-23 |
| 1154814028 | Amanda Zelnick | Dentist | Bldg 5330 Moseby St, Ft Jackson, NC 29207 | 2018-06-14 |
| 1790231777 | Brittaney Elizabeth Anne Lewelling | Specialist/Technologist | 5975 Chesnut Road, Columbia, SC 29207 | 2016-08-30 |
| 1376749838 | Moncrief Army Community Hospital | Clinic/Center | 5330 Mosby Street, Fort Jackson, SC 29207 | 2007-06-22 |
| 1902002462 | Moncrief Army Community Hospital | Clinic/Center | 1890 Washington Road, Fort Jackson, SC 29207 | 2007-06-22 |
| 1730279860 | Donna L Briquet | Pharmacist | 4500 Marion Street, Columbia, SC 29207 | 2006-10-12 |
| Find all providers in zip 29207 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184239832 | Adam Wesley Gadbois | Dentist | 220 Diego Dr, Columbia, MO 65203-4919 | 2020-09-10 |
| 1841803855 | Craig Thomas Luskey | Dentist | 4500 Stuart St Fl 3, Columbia, SC 29207-5700 | 2020-08-28 |
| 1710505169 | Dentists of Devine, PC | Dentist | 4600 Devine St Ste B, Columbia, SC 29205-3617 | 2020-07-13 |
| 1134745227 | Kayla White | Dentist | 1401 Forum Blvd Ste 203, Columbia, MO 65203-1915 | 2020-06-24 |
| 1962033001 | Ivy Creek Family Dentistry LLC | Dentist | 9007 Two Notch Rd Ste B, Columbia, SC 29223-5834 | 2020-01-28 |
| 1538701230 | Sulekha Agrawal Dmd LLC | Dentist | 9194 Red Branch Rd Ste A, Columbia, MD 21045-2005 | 2019-10-14 |
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1245885284 | Mana Shoeybi | Dentist | 6955 Oakland Mills Rd Ste 0, Columbia, MD 21045-5849 | 2019-08-06 |
| 1528628716 | Soh of Missouri Samson Liu PC | Dentist | 303 N Keene St # 202-210, Columbia, MO 65201-8050 | 2019-06-19 |
| 1417511783 | Molly Kayleen Pincelli | Dentist | Ph Usc Medical Group Dentistry, 10 Medical Park, Columbia, SC 29203 | 2019-04-23 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.