DR. PHUNG TRAN (NPI# 1619318946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619318946 |
| Entity Type | Individual |
| Full Name | DR. PHUNG TRAN |
| Credential | D.M.D |
| Practice Address |
2061 Henderson Way Lodi CA 95242-4814 |
| Practice Telephone | 2097479335 |
| Mailing Telephone | 2097479335 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
62467 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104313774 | Phung Tran | Student in an Organized Health Care Education/Training Program | 303 Main St, Binghamton, NY 13905-2579 | 2018-04-18 |
| 1710386958 | Phung Kim Tran | Pharmacist | 1616 W Airline Hwy, La Place, LA 70068-3331 | 2014-08-13 |
| Street Address |
2061 HENDERSON WAY |
| City | LODI |
| State | CA |
| Zip Code | 95242-4814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| 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 |
|---|---|---|---|---|
| 1194218776 | Jordan Michael Carl | Dentist | 1930 Tienda Dr Ste 203, Lodi, CA 95242-3935 | 2018-06-08 |
| 1316396401 | Mina A Elfar | Dentist | 167 Grove St, Lodi, NJ 07644-3027 | 2016-06-08 |
| 1730486002 | Esmeralda Marquez | Dentist | 507 Sandpiper Cir, Lodi, CA 95240-8800 | 2011-02-22 |
| 1194044396 | John Ignatius Meilinger | Dentist | 115 Bank Street, John I. Meiling Dds Inc, Lodi, OH 44254 | 2010-05-27 |
| 1215104690 | Linh Dong-anh Nguyen | Dentist | 1745 W Kettleman Ln Ste C, Lodi, CA 95242-9287 | 2008-05-14 |
| 1154590552 | Anaheata Esmailzada | Dentist | 1 S Main St Ste 6, Lodi, NJ 07644-2235 | 2008-02-29 |
| 1407977291 | Frank Carl Rosich | Dentist | 525 S Fairmont Ave Ste H, Lodi, CA 95240-3860 | 2007-04-02 |
| 1992836829 | Christian A. Bader | Dentist | 630 S Fairmont Ave, Ste D., Lodi, CA 95240-3803 | 2007-03-09 |
| 1821129438 | Kevin Y.s. Wong | Dentist | 431 S Ham Ln, Ste D, Lodi, CA 95242-3524 | 2007-03-07 |
| 1407997802 | David Quang Dinh | Dentist | 920 S Cherokee Ln, Suit # G, Lodi, CA 95240-4341 | 2007-02-09 |
| Find all providers in LODI | ||||
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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.