DR. THANH HOANG PHAN (NPI# 1144660358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144660358 |
| Entity Type | Individual |
| Full Name | DR. THANH HOANG PHAN |
| Credential | DDS |
| Practice Address |
14100 N 83rd Ave Ste 280 Peoria AZ 85381-5660 |
| Mailing Address |
7950 S Dromedary Dr Tempe AZ 85284-1348 |
| Practice Telephone | 7144678672 |
| Mailing Telephone | 7144678672 |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2017-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
62318 | CA | Dental Providers |
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
8766 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194217919 | Thanh Ngoc Phan | Pharmacist | 927 E Shaw, Pasadena, TX 77506 | 2018-06-06 |
| 1528250701 | Thanh Phan | Physician Assistant | 15950 Eldorado Pkwy, Ste 400, Frisco, TX 75035-5802 | 2007-08-13 |
| 1124656004 | Thanh Minh Phan | Student in an Organized Health Care Education/Training Program | 5246 Brittany Dr, Baton Rouge, LA 70808-9136 | 2020-03-27 |
| 1841766276 | Thanh Phan | Psychologist | 780 American Legion Hwy, Roslindale, MA 02131-3908 | 2018-10-24 |
| 1568716413 | Thanh Huong Phan | Pharmacist | 2101 S Queen St, York, PA 17403-4808 | 2012-10-30 |
| 1528311305 | Thanh Van Thi Phan | Pharmacist | 1363 W Henderson Ave, Porterville, CA 93257-1456 | 2012-10-18 |
| 1366563504 | Thanh T Phan | Dentist | 629 Cooper Rd, Oxnard, CA 93030-5427 | 2007-04-03 |
| 1417019969 | Thanh Huu Phan | Surgery | 4000 Highland Rd, #110, Waterford Twp, MI 48328 | 2006-12-14 |
| Street Address |
14100 N 83RD AVE STE 280 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-5660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565744 | West Valley Braces | Dentist | 14100 N 83rd Ave Ste 280, Peoria, AZ 85381-5660 | 2019-12-13 |
| 1689025256 | Arizona Dental Anesthesia Pllc | Dentist | 14100 N 83rd Ave Ste 280, Peoria, AZ 85381-5660 | 2016-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689025256 | Arizona Dental Anesthesia Pllc | Dentist | 14100 N 83rd Ave Ste 280, Peoria, AZ 85381-5660 | 2016-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699252544 | Green States Anesthesia Pllc | Dentist | 3343 E Indigo Bay Ct, Gilbert, AZ 85234-1737 | 2018-07-24 |
| 1760847628 | Sleepcare Dental LLC | Dentist | 625 W Deer Valley Rd Ste 103622, Phoenix, AZ 85027-2138 | 2015-12-20 |
| 1326420415 | Trent Nielsen | Dentist | 12417 W Encanto Blvd, Avondale, AZ 85392-6515 | 2015-06-24 |
| 1184799538 | Reuben Nelson Turner | Dentist | 625 W Southern Ave Ste E-145, Mesa, AZ 85210-5030 | 2006-11-21 |
| 1811066541 | Mari Cynthia Fukami | Dentist | 625 W Southern Ave, Ste E-145, Mesa, AZ 85210-5030 | 2006-11-07 |
| 1376108035 | Tcp Anesthesia Services Pllc | Dentist | 695 E Cottonwood Ln, Casa Grande, AZ 85122-2023 | 2019-05-07 |
| 1881185791 | Comfort Care Anesthesia, LLC | Dentist | 13601 N Canterbury Dr, Phoenix, AZ 85023-6290 | 2018-05-25 |
| 1700241809 | Arizona Anesthesia for Dentistry, LLC | Dentist | 6600 N Oracle Rd, Ste 110, Tucson, AZ 85704-5676 | 2015-12-16 |
| 1447641139 | Minsoek Kang Dentistry, Pllc | Dentist | 15033 W Bell Rd, Ste 175, Surprise, AZ 85374-3217 | 2015-02-17 |
| 1518366111 | East Valley Dental Anesthesia, Pllc | Dentist | 67 S Higley Rd, Suite 103, Gilbert, AZ 85296-1166 | 2014-08-19 |
| Find all providers with the same taxonomy | ||||
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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.