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Active NPI 1689750390 Individual Practitioner Male Practitioner

Dr. Brent P Tran , DDS

Dentist - General Practice • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Dr. Brent Tran, DDS is a registered healthcare professional specializing in Dentist - General Practice in Puyallup, WA. Practice services are available at 10217 125TH STREET CT E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10217 125th Street Ct E
3rd Floor

Puyallup, WA 983742761

Telephone 2538644760
Fax 2538644558
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Puyallup, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
65 Specialists

Practicing in Puyallup, WA (3345 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: 2024-06-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 63977

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WA DE00009519

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5044540 (WA)
Commercial Insurance / Payer ID State Labor & Industries
0174963 (WA)
Commercial Insurance / Payer ID Regence Blue Shield
4352TR (WA)

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Daniel Millar , MD

General Practice

NPI 1053517763

Doctor of Medicine (M.D.)

Richard Knowlton , NP

Nurse Practitioner - Family

NPI 1174513477

Nurse Practitioner

Dr. Shannon Farazi , DMD

Dentist - General Practice

NPI 1326474693

Doctor of Dental Medicine

Dr. Carlie Mzik , DNP

Nurse Practitioner

NPI 1376023358

Doctor of Nursing Practice

Dr. Surinder Singh , MD

Internal Medicine

NPI 1437115789

Doctor of Medicine (M.D.)

NPI 1437610516

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2024

Dentist (License #63977 in CA)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 10217 125TH STREET CT E, 3RD FLOOR, PUYALLUP, WA 983742761 (Tel: 2538644760)

📍
Updated Business Mailing Address July 09, 2007

Registered at PO BOX 34703, SEATTLE, WA 981241703 (Tel: 2067640112)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as BRENT TRAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #DE00009519 in WA)

🟢
Initial NPI Registration & Enumeration October 27, 2006

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: 1689750390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: June 06, 2024
Sole Proprietor: No

Mailing Address

Po Box 34703

Seattle, WA 981241703

Phone: 2067640112

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.