DR. QUY-PHUNG THI PHAN


Address: 628 Running Deer Rd, Walnut, CA 91789-4299
Phone: 6265818209

DR. QUY-PHUNG THI PHAN (NPI# 1164662789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164662789
Entity Type Individual
Full Name DR. QUY-PHUNG THI PHAN
Credential D.D.S
Practice Address 628 Running Deer Rd
Walnut
CA 91789-4299
Practice Telephone 6265818209
Mailing Telephone 6265818209
Enumeration Date 2009-02-22
Last Update Date 2009-02-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 50090 CA Dental Providers

Office Location

Street Address 628 RUNNING DEER RD
City WALNUT
State CA
Zip Code 91789-4299

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NPI Name Taxonomy Address Enumeration
1154964203 Dolores A. Lopez Technician 335 San Roque Drive, Walnut, CA 91789 2019-10-22
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1003399106 Larry Besong Respiratory Therapist, Registered 22285 Roundup Dr, Walnut, CA 91789 2018-09-13
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1720575608 Sonam Patel Pharmacist 1533 Parker Canyon Road, Walnut, CA 91789 2018-04-17
1649799206 Jacquelyn Lising Dietitian, Registered 911 Summitview Ct, Walnut, CA 91789 2017-09-14
1497272389 Jennifer Diaz Behavior Technician 539 Castlehill Dr, Walnut, CA 91789 2017-08-23
1952759888 Laurentino Lozada De Guia Jr. Dentist 778 Nogales St., Suite G, Walnut, CA 91789 2016-06-01
1679970859 Grace Park Chiropractor 20627 Golden Springs Dr., 2-b, Diamond Bar, CA 91789 2014-12-03
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336623255 Robert Mari Guerrero Ramos Dentist 1249 N Grand Ave, Walnut, CA 91789-1312 2018-09-17
1649714247 Michael Hanna Dentist 21230 Stockton Pass Rd, Walnut, CA 91789-5109 2016-12-15
1952759888 Laurentino Lozada De Guia Jr. Dentist 778 Nogales St., Suite G, Walnut, CA 91789 2016-06-01
1902261746 Yi Jasmine Ko Dentist 710 Whitewing Ln, Walnut, CA 91789-1849 2015-12-21
1720488083 Christopher Thomas Auyong Dentist 1046 Regal Canyon Dr, Walnut, CA 91789-5030 2014-08-23
1124431085 Sital Mandalia Dentist 20855 Golden Springs Dr, Suite #108, Walnut, CA 91789-3800 2014-06-09
1073949541 Myat Htut Dentist 20709 Golden Springs Dr Ste 202, Walnut, CA 91789-3847 2013-09-17
1528352630 Julia Zhu Xiong Dentist 19822 E Saddle Ridge Ln, Walnut, CA 91789-4380 2011-06-06
1962736975 Oliver Chu Dentist 219 Spyglass Ln, Walnut, CA 91789-2041 2009-09-23
1104088178 Arshjot S Ahuja Dentist 1865 Peaceful Hills Rd, Walnut, CA 91789-4026 2008-06-30
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Competitor

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City WALNUT
Zip Code 91789

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Dataset Information

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.

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