DR. ERIC PHAN (NPI# 1477061273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477061273 |
| Entity Type | Individual |
| Full Name | DR. ERIC PHAN |
| Credential | DDS |
| Practice Address |
614 E Clark Blvd Murfreesboro TN 37130-2121 |
| Practice Telephone | 6158900885 |
| Mailing Telephone | 6158900885 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2019-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
11086 | TN | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 308 E Lincoln St, Tullahoma, TN 373883750 | 9318413113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982934113 | Eric H Phan | Pharmacist | 14516 Brookhurst St, Westminster, CA 92683-5750 | 2010-01-11 |
| Street Address |
614 E CLARK BLVD |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37130-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487635025 | Jay Chadwick Curry | Dentist | 614 E Clark Blvd, Murfreesboro, TN 37130-2121 | 2005-11-10 |
| 1437617479 | Lyle Robert Higgins | Dentist | 614 E Clark Blvd, Murfreesboro, TN 37130-2121 | 2019-03-08 |
| 1265884357 | Katelyn Olenich Reeves | Dentist | 614 E Clark Blvd, Murfreesboro, TN 37130-2121 | 2016-07-13 |
| 1740600816 | Helen Bono | Dentist | 614 E Clark Blvd, Murfreesboro, TN 37130-2121 | 2014-04-16 |
| 1669560090 | Jason Ronald Vogt | Dentist | 614 E Clark Blvd, Murfreesboro, TN 37130-2121 | 2006-10-11 |
| 1114908530 | David Ray Stanley | Dentist | 614 E Clark Blvd, Murfreesboro, TN 37130-2121 | 2005-11-11 |
| 1346221991 | Ann Elizabeth Stanley | Dentist | 614 E Clark Blvd, Murfreesboro, TN 37130-2121 | 2005-11-10 |
| 1942281571 | Mckee, Curry, Stanley, Pediatric Dentistry Partnership | Dentist | 614 E Clark Blvd, Murfreesboro, TN 37130-2121 | 2005-11-10 |
| 1891776431 | Joy Henley Mckee | Dentist | 614 E Clark Blvd, Murfreesboro, TN 37130-2121 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760954374 | Ginger Marie Nolan | Speech-Language Pathologist | 2208 E. Main Street Murfreesboro, Murfreesboro, TN 37130 | 2018-12-20 |
| 1710480835 | Winter Calvert Cullen | Chiropractor | 925 S. Church St. A200, Murfreesboro, TN 37130 | 2018-03-15 |
| 1821598368 | Carolina Lira | Social Worker | 1800 S. Rutherford Blvd, Suite 201, Murfreesboro, TN 37130 | 2018-02-20 |
| 1003314477 | Sarah Elizabeth Howard | Recreation Therapist | 260 Glenis Drive, Veterans Recovery Center, Murfreesboro, TN 37130 | 2018-01-31 |
| 1871012864 | Adam Gerard Fedewa | Physical Therapy Assistant | 1207woods Edge Dr, Murfreesboro, TN 37130 | 2017-09-12 |
| 1972027860 | Teri Andrea White | Specialist | 1011-b Nw Broard St, Suite 15, Murfreesboro, TN 37130 | 2017-08-01 |
| 1295285120 | Bethany Ann Malugin | Nurse Practitioner | 324 S. Bilbro Ave., Murfreesboro, TN 37130 | 2016-10-04 |
| 1982080636 | Lisa Anne Davis | Massage Therapist | 416 North Front Street, Murfreesboro, TN 37130 | 2015-08-05 |
| 1568844488 | Dental Excellence | Dentist | 1754 S Rutherford Boulevard, Murfreesboro, TN 37130 | 2015-06-27 |
| 1932545134 | Burma Collins Developmental Services | Home Health | 2161 Slater Drive, Mufressboro, TN 37130 | 2013-05-14 |
| Find all providers in zip 37130 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932328317 | Jack Daniel Mallette | Dentist | 538 Brandies Circle, Suite 102, Murfreesboro, TN 37128 | 2007-04-24 |
| 1477699734 | Stephen Eric Simpson | Dentist | 132 Heritage Park Dr, Suite 3, Murfreesboro, TN 37129-0564 | 2007-01-30 |
| 1487635025 | Jay Chadwick Curry | Dentist | 614 E Clark Blvd, Murfreesboro, TN 37130-2121 | 2005-11-10 |
| 1801329917 | Apc Dentistry | Dentist | 2805 Old Fort Pkwy, Murfreesboro, TN 37128-5115 | 2017-04-05 |
| 1265884357 | Katelyn Olenich Reeves | Dentist | 614 E Clark Blvd, Murfreesboro, TN 37130-2121 | 2016-07-13 |
| 1740600816 | Helen Bono | Dentist | 614 E Clark Blvd, Murfreesboro, TN 37130-2121 | 2014-04-16 |
| 1548463466 | Childrens Dentistry of Murfreesboro Pllc | Dentist | 538 Brandies Circle, Suite 102, Murfreesboro, TN 37128 | 2007-06-07 |
| 1639386394 | Amy Michelle Roeder | Dentist | 2805 Old Fort Pkwy, Suite A, Murfreesboro, TN 37128-5115 | 2007-05-16 |
| 1316164833 | Joseph A Faiz | Dentist | 2910 Old Fort Pkwy, Murfreesboro, TN 37128-4158 | 2007-04-18 |
| 1669560090 | Jason Ronald Vogt | Dentist | 614 E Clark Blvd, Murfreesboro, TN 37130-2121 | 2006-10-11 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37130 |
Please comment or provide details below to improve the information on DR. ERIC PHAN.
| 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.