Provider Demographics
NPI:1144671173
Name:BUI, TRAMMIE (DDS)
Entity type:Individual
Prefix:
First Name:TRAMMIE
Middle Name:
Last Name:BUI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:878 SINBAD AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-3744
Mailing Address - Country:US
Mailing Address - Phone:408-332-7200
Mailing Address - Fax:
Practice Address - Street 1:228 N JACKSON AVE STE 50
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1602
Practice Address - Country:US
Practice Address - Phone:408-328-5682
Practice Address - Fax:408-258-4348
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1003021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice