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Deactivated NPI 1487363230 Deactivated / Inactive NPI Male Practitioner

Tan Dat Tran

Dentist - General Practice • Magnolia, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tan Dat Tran has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 21, 2022
NPI Deactivation Date September 20, 2025
Total Practice Duration ~3 Years of Practice (2022 – 2025)

Professional Overview & Biography Verified Profile Summary

Tan Dat Tran was a registered Dentist - General Practice practicing in Magnolia, TX. Throughout an active medical career spanning 3 years, Tan Dat Tran provided care at the practice location at 18640 FARM TO MARKET RD 1488 SUITE I until profile deactivation on 2025-09-20.

Practice Location & Contact Primary Location

Practice Address

18640 Farm To Market Rd 1488 Suite I

Magnolia, TX 77354

Telephone 8323795488

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Magnolia, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
15 Specialists

Practicing in Magnolia, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 38904

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Alexander Beltran , DDS

Dentist - General Practice

NPI 1548886948

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location October 15, 2025

Registered at 18640 FARM TO MARKET RD 1488 SUITE I, MAGNOLIA, TX 77354 (Tel: 8323795488)

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Updated Business Mailing Address October 15, 2025

Registered at 14227 ANDREA WAY LN, HOUSTON, TX 770837711 (Tel: 3465310182)

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Provider Name / Credentials Updated October 15, 2025

Recorded as TAN DAT TRAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2025

Dentist (License #38904 in TX)

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NPI Profile Deactivated September 20, 2025

Record deactivated on September 20, 2025

NPI Profile Active November 21, 2022

NPI status registered as active in NPPES database

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Updated Practice Location November 21, 2022

Registered at 18640 FARM TO MARKET RD 1488 SUITE I, MAGNOLIA, TX 77354 (Tel: 8323795488)

📍
Updated Business Mailing Address November 21, 2022

Registered at 14227 ANDREA WAY LN, HOUSTON, TX 770837711 (Tel: 3465310182)

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Provider Name / Credentials Updated November 21, 2022

Recorded as TAN DAT TRAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2022

Dentist (License #38904 in TX)

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Initial NPI Registration & Enumeration November 21, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487363230
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2022
Last Update: October 15, 2025
Deactivation Date: September 20, 2025
Sole Proprietor: Yes

Mailing Address

14227 Andrea Way Ln

Houston, TX 770837711

Phone: 3465310182

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.