Provider Demographics
NPI:1548140056
Name:DTD OF TN PLLC
Entity type:Organization
Organization Name:DTD OF TN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRINH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-437-0469
Mailing Address - Street 1:1033 SGT ASBURY HAWN WAY
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-3440
Mailing Address - Country:US
Mailing Address - Phone:615-437-0469
Mailing Address - Fax:615-235-1228
Practice Address - Street 1:1033 SGT ASBURY HAWN WAY
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-3440
Practice Address - Country:US
Practice Address - Phone:615-437-0469
Practice Address - Fax:615-235-1228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty