DR. BENJAMIN TRUONG (NPI# 1649836123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649836123 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN TRUONG |
| Credential | DMD |
| Practice Address |
Scott Air Force Base 307 West Losey Street Building #1535 Apo AA 62225 |
| Mailing Address |
423 W Canary Way Chandler AZ 85286-4528 |
| Practice Telephone | 6182566667 |
| Mailing Telephone | 4809939003 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801891452 | Benjamin Quang Truong | Clinic/Center | 9014 Garvey Ave, Ste I, Rosemead, CA 91770-5306 | 2005-06-19 |
| Street Address |
SCOTT AIR FORCE BASE 307 WEST LOSEY STREET BUILDING #1535 |
| City | APO |
| State | AA |
| Zip Code | 62225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011645 | Cheryl D Jones | Registered Nurse | 375th Mdg, 310 W. Losey Street, Scott Afb, IL 62225 | 2020-04-13 |
| 1558925669 | Brian Ng | Student in an Organized Health Care Education/Training Program | South Drive, Scott Afb, Illinois, Apo, AA 62225 | 2019-04-24 |
| 1841853710 | Lance Scott Mcgavin | Student in an Organized Health Care Education/Training Program | 307 West Losey Street., Building #1535, Scott Afb, IL 62225 | 2019-04-17 |
| 1629503180 | Joshua Bryce Kessack | General Practice | 375 Amds, 310 Losey St, Scott Afb, IL 62225 | 2017-04-21 |
| 1265988059 | Jennifer Nicole Laurence | Dentist | 703 Seibert Rd Ste 5, Scott Afb, IL 62225 | 2016-08-31 |
| 1578940755 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 207 W. Winters St., Bldg 1981, Scott Afb, IL 62225 | 2015-04-27 |
| 1891193652 | Diana Meyer | Social Worker | Scott Afb, Apo, AA 62225 | 2014-12-10 |
| 1801210273 | Robie Victoria Hughes | Registered Nurse | 310 W Losey Street, Scott Air Force Base, IL 62225 | 2014-02-06 |
| 1487998746 | Melissa Dawn Goff | Military Health Care Provider | 310 West. Losey Street, Scott Afb, IL 62225 | 2012-11-26 |
| 1477784312 | Derek Cowen | Military Health Care Provider | 505 Rimkus Drive, Scott Air Force Base, IL 62225 | 2009-07-27 |
| Find all providers in zip 62225 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657382 | Logan Michael Dilik | Student in an Organized Health Care Education/Training Program | 88th Dental Squadron, 4881 Sugar Maple Drive, Apo, AA 45433-5529 | 2020-04-08 |
| 1417519349 | Peter Hwang | Student in an Organized Health Care Education/Training Program | 618th Dental Co, Carius Dental Clinic, Bldg# P3020 Attn: Credentials Office, Apo, AP 96271-5245 | 2019-07-01 |
| 1770143711 | Michelle Alexandra Engel | Student in an Organized Health Care Education/Training Program | Twentynine Palms Marine Base, 1591, Apo, AA 92278 | 2019-06-20 |
| 1124687108 | Dana Martin Poloni | Student in an Organized Health Care Education/Training Program | General Surgery, Dwight D Eisenhower Army Medical Cent, 300 East Hospital Road, Apo, AA 30905-5650 | 2019-06-12 |
| 1558925669 | Brian Ng | Student in an Organized Health Care Education/Training Program | South Drive, Scott Afb, Illinois, Apo, AA 62225 | 2019-04-24 |
| 1417440306 | Colt Sicher | Student in an Organized Health Care Education/Training Program | 96th Dental Squadron (afmc), Eglin Afb, Fl 32542, Apo, AA 32542 | 2018-06-14 |
| 1649773854 | Monica Rani O'mahony | Student in an Organized Health Care Education/Training Program | 3d Maint Bn, Unit 38422, Apo, AP 96380 | 2018-03-14 |
| 1164958617 | David Miller | Student in an Organized Health Care Education/Training Program | Psc 41 Box 3787, Apo, AE 09464-3787 | 2017-05-03 |
| 1952836678 | David J Ahn | Student in an Organized Health Care Education/Training Program | Unit 15190 Box Pyongtaek, Apo, AP 96271 | 2017-05-01 |
| 1558894964 | Richard Tomlinson | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Apo, AA 78234-4504 | 2017-04-04 |
| Find all providers in APO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.