Provider Demographics
NPI:1427453208
Name:BRIER CREEK SMILES DENTISTRY
Entity type:Organization
Organization Name:BRIER CREEK SMILES DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOAN
Authorized Official - Middle Name:Q
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-432-4200
Mailing Address - Street 1:2121 TW ALEXANDER DR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-6815
Mailing Address - Country:US
Mailing Address - Phone:919-436-4200
Mailing Address - Fax:919-590-1855
Practice Address - Street 1:2121 TW ALEXANDER DR
Practice Address - Street 2:SUITE 109
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-6815
Practice Address - Country:US
Practice Address - Phone:919-436-4200
Practice Address - Fax:919-590-1855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9118261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental