Don Q. Tran D.M.D. INC.
Dentist, General Practice in Pismo Beach, CA. Organization (NPI-2).
NPI number1114254166
StatusActive
Last updated in NPPESNov 12, 2009
Details
- NPI
- 1114254166
- Entity type
- Organization (NPI-2)
- Legal business name
- Don Q. Tran D.M.D. INC.
- Organization subpart
- No
- Enumeration date
- Nov 12, 2009
- Last updated
- Nov 12, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 49015 | CA | Yes |
Other names
- Central Coast Dental (Doing Business As)
Practice location
871 Oak Park BlvdPismo Beach, CA 93449-3292
Phone 805-481-3433
Mailing address
871 Oak Park BlvdPismo Beach, CA 93449-3292
Phone 805-481-3433
Authorized official
Don Q Tran
Owner
8054813433
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 General Practice Dentistry providers in Pismo Beach · All 334 providers in Pismo Beach
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