MR. TRUNG PHAN D.D.S NPI 1912389016

NPI Information

NPI: 1912389016
Provider Name: MR. TRUNG PHAN, D.D.S
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
4919 DOUGLAS AVE
SUITE #10
DES MOINES, IA
ZIP 50310
Phone: (515) 278-2010
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MR. Trung Phan, D.D.S is a general practice dentist in Des Moines, IA. The provider is 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. MR. Trung Phan, D.D.S NPI is 1912389016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4919 DOUGLAS AVE
SUITE #10
DES MOINES, IA
ZIP 50310-775
Phone: (515) 278-2010

The enumeration date for this NPI number is 6/24/2015 and was last updated on 6/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DDS-09193	IOWA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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