DAVID PHAN D.M.D. NPI 1295098846

NPI Information

David Phan, D.M.D. is an oral and maxillofacial surgery dentist in Riverside, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. David Phan, D.M.D. NPI is 1295098846. 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:

10747 COLLETT AVE
RIVERSIDE, CA
ZIP 92505-923
Phone: (951) 324-3156

The enumeration date for this NPI number is 6/19/2012 and was last updated on 7/22/2021.

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:

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