Provider Demographics
NPI:1306565924
Name:VAN-ANH TRAN PETERS,DDS,PC
Entity type:Organization
Organization Name:VAN-ANH TRAN PETERS,DDS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:VAN-ANH
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-351-7123
Mailing Address - Street 1:1866 HASLETT RD
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-6927
Mailing Address - Country:US
Mailing Address - Phone:517-351-7123
Mailing Address - Fax:
Practice Address - Street 1:1866 HASLETT RD
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-6927
Practice Address - Country:US
Practice Address - Phone:517-351-7123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental