Provider Demographics
NPI:1699301440
Name:TRAN AND JAVED DDS PA
Entity type:Organization
Organization Name:TRAN AND JAVED DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DUNG
Authorized Official - Middle Name:V
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-624-6300
Mailing Address - Street 1:6604 E MARSHVILLE BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:MARSHVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28103-1198
Mailing Address - Country:US
Mailing Address - Phone:704-624-6300
Mailing Address - Fax:
Practice Address - Street 1:6604 E MARSHVILLE BLVD STE 1
Practice Address - Street 2:
Practice Address - City:MARSHVILLE
Practice Address - State:NC
Practice Address - Zip Code:28103-1198
Practice Address - Country:US
Practice Address - Phone:704-624-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental