Dr Phuc Cong Tran, DMD | |
333 Laws Ave, Ukiah, CA 95482 | |
(510) 381-2240 | |
Not Available |
Full Name | Dr Phuc Cong Tran |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 333 Laws Ave, Ukiah, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457855942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 103962 (California) | Primary |
Entity Name | Mendocino Community Health Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497961106 PECOS PAC ID: 6305755455 Enrollment ID: O20040826001483 |
Mailing Address | Practice Location Address |
---|---|
Dr Phuc Cong Tran, DMD 333 Laws Ave, Ukiah, CA 95482-6540 Ph: (510) 381-2240 | Dr Phuc Cong Tran, DMD 333 Laws Ave, Ukiah, CA 95482 Ph: (510) 381-2240 |
Andrew Irvine Corbett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 135 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-6086 | |
Dr. Robert Blake Tandy, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1236 Vista Verde Rd, Ukiah, CA 95482 Phone: 707-972-1123 Fax: 707-468-0899 | |
Kenneth Barry, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1252 Airport Park Blvd, Suite D1, Ukiah, CA 95482 Phone: 707-462-8719 | |
Dr. Anthoula S Vlachos, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 471 Lovers Ln, Ukiah, CA 95482 Phone: 707-972-2602 | |
Dr. Nicholas Nadiem Khoury, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 415 W Standley St, Ukiah, CA 95482 Phone: 707-462-2170 Fax: 707-462-1953 | |
Dr. Gary R Keszler, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 135 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-6086 | |
Dr. William Green, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 772 S Dora St, Ukiah, CA 95482 Phone: 707-462-2913 Fax: 707-462-0350 |