DR. ANHTHU DEANA PHAN D.D.S. NPI 1629336417

NPI Information

NPI: 1629336417
Provider Name: DR. ANHTHU DEANA PHAN, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
9290 SIERRA COLLEGE BLVD
SUITE #300
ROSEVILLE, CA
ZIP 95661
Phone: (916) 788-8450
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DR. Anhthu Deana Phan, D.D.S. is a general practice dentist in Roseville, CA. 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. DR. Anhthu Deana Phan, D.D.S. NPI is 1629336417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9290 SIERRA COLLEGE BLVD
SUITE #300
ROSEVILLE, CA
ZIP 95661-991
Phone: (916) 788-8450
Fax: (916) 788-8452

The enumeration date for this NPI number is 4/30/2012 and was last updated on 4/30/2012.

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	44762	CALIFORNIA	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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