Provider Demographics
NPI:1760604599
Name:TRAN, MIMI NHI-UYEN (DDS)
Entity type:Individual
Prefix:DR
First Name:MIMI
Middle Name:NHI-UYEN
Last Name:TRAN
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 1:1686 KELLER PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-3702
Mailing Address - Country:US
Mailing Address - Phone:682-978-3960
Mailing Address - Fax:817-745-1100
Practice Address - Street 1:1686 KELLER PKWY STE 100
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-3702
Practice Address - Country:US
Practice Address - Phone:682-978-3960
Practice Address - Fax:817-745-1100
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20299122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist