DAVID PHAN DMD INC NPI 1740028133

NPI Information

  • NPI: 1740028133
  • Provider Name: DAVID PHAN DMD INC
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Organization
  • Address: 1137 W AVENUE M14 STE 101
    PALMDALE, CA
    ZIP 93551
  • Phone: (951) 324-3156

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NPI Details

DAVID PHAN DMD INC is an oral maxillofacial surgery in Palmdale, CA. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DAVID PHAN DMD INC NPI is 1740028133. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1137 W AVENUE M14 STE 101
PALMDALE, CA
ZIP 93551-429
Phone: (951) 324-3156

The provider's authorized official is David Phan .
The authorized official title is Owner and has the following contact phone number (951) 324-3156.

The enumeration date for this NPI number is 7/18/2024 and was last updated on 7/18/2024.

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
1204E00000XOral & Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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