DR. NGUYEN PHAN


Address: 3302 Gaston Ave, Oral and Maxillofacial Surgery Department, Dallas, TX 75246-2013
Phone: 2704383332

DR. NGUYEN PHAN (NPI# 1407304959) 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) 1407304959
Entity Type Individual
Full Name DR. NGUYEN PHAN
Practice Address 3302 Gaston Ave
Oral and Maxillofacial Surgery Department
Dallas
TX 75246-2013
Mailing Address 7150 E Grand Ave
Apt 1304
Dallas
TX 75223-1000
Practice Telephone 2704383332
Mailing Telephone 2704383332
Enumeration Date 2016-09-13
Last Update Date 2016-09-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 32395 TX Dental Providers

Other Providers NGUYEN PHAN

NPI Name Taxonomy Address Enumeration
1023348034 Nguyen Quoc Phan Case Manager/Care Coordinator 12900 Garden Grove Blvd Ste 214, Garden Grove, CA 92843-2006 2010-01-14
1245266949 Nguyen Phan Internal Medicine 8515 Spring Cypress Rd, Suite 108, Spring, TX 77379-3354 2006-06-24
1194721407 Nguyen H Phan Internal Medicine 2350 N Lake Dr, Ste 206, Milwaukee, WI 53211-4528 2005-06-22

Office Location

Street Address 3302 GASTON AVE
ORAL AND MAXILLOFACIAL SURGERY DEPARTMENT
City DALLAS
State TX
Zip Code 75246-2013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548263502 Steven D Bender Dentist 3302 Gaston Ave, 169, Dallas, TX 75246-2013 2005-05-24
1164040572 Stephanie Bowers Dentist 3302 Gaston Ave, Dallas, TX 75246-2013 2020-07-12
1649898016 Kyle Jonathon Kuzmic Dentist 3302 Gaston Ave, Dallas, TX 75246-2013 2020-07-11
1497377261 Karl Veasey Dentist 3302 Gaston Ave, Dept. of Public Health Sciences, Dallas, TX 75246-2013 2020-05-14
1013537869 Erik Meckel Dental Assistant 3302 Gaston Ave, Dallas, TX 75246-2013 2020-04-22
1447894795 Renicke Moss Dentist 3302 Gaston Ave, Dallas, TX 75246-2013 2019-10-30
1043862501 Sarah Grace Jensen Dentist 3302 Gaston Ave, Dallas, TX 75246-2013 2019-07-15
1457903262 George Derrick Pylant Iv Student in an Organized Health Care Education/Training Program 3302 Gaston Ave, Dallas, TX 75246-2013 2019-07-11
1679135016 Eric Lin Dentist 3302 Gaston Ave, Dallas, TX 75246-2013 2019-07-06
1710548870 Stephen Siew Dentist 3302 Gaston Ave, Dallas, TX 75246-2013 2019-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396201356 Roseann Estrada Mendoza Nurse Practitioner 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 2019-02-14
1033683701 Marta Revilla-leon Dentist 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 2019-01-16
1912408170 Liza Johannesson Transplant Surgery Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 2018-02-23
1841710266 Stephanie Chartier-plante Student in an Organized Health Care Education/Training Program 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 2017-06-27
1528505096 Adam Bohnenblust Chiropractor 411 N Washington Ave Ste 2200, Dallas, TX 75246 2017-01-23
1699121327 Magnolia Pain Associates Pllc Pain Medicine 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 2016-05-12
1073969408 Apurva Yeluru Hospitalist 3500 Gaston Ave Ste 550, Dallas, TX 75246 2016-05-04
1134580533 Sp Alf Ops Co, LLC Assisted Living Facility 3922 Simpson Street, Dallas, TX 75246 2016-03-11
1386031185 Lisa Voigt Student in an Organized Health Care Education/Training Program 3501 Junius Street, Dallas, TX 75246 2015-04-20
1891107843 Jessica Shie Internal Medicine Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 2014-05-27
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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
1255938296 Cameron Togrye Dentist 5215 Belmont Ave Apt 7308, Dallas, TX 75206-7598 2020-10-02
1376155762 Thy Hong Nguyen Dentist 17721 Dallas Pkwy Ste 106, Dallas, TX 75287-7338 2020-08-18
1043820590 Ronald Mauricio Velasquez Dentist 611 N Bishop Ave Ste 102, Dallas, TX 75208-4361 2020-08-08
1629688767 Corbin Reed Alhadef Dentist 8226 Douglas Ave Ste 753, Dallas, TX 75225-5929 2020-08-04
1942819883 Gabrielle Kubas Dentist 775 Peavy Rd, Dallas, TX 75218-2175 2020-07-27
1134738156 Erin Medina Dentist 7510 E Grand Ave Apt 1304, Dallas, TX 75214-4163 2020-07-26
1841816790 Faisal Abdul Rehman Dentist 14041 Preston Rd Apt 1506e, Dallas, TX 75254-3491 2020-06-16
1790307726 Seyedeh Delaram Abaei Dentist 8610 Greenville Ave Ste 150, Dallas, TX 75243-7159 2020-05-13
1396377594 Fresca Dental Pllc Dentist 10121 Lake June Rd Ste 118, Dallas, TX 75217-5345 2020-02-06
1104456276 Eduardo Guzman-almaguer Dentist 4228 N Central Expy Ste 120, Dallas, TX 75206-6548 2020-01-17
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Competitor

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City DALLAS
Zip Code 75246

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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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