DR. MAI TRAM PHAN (NPI# 1750584934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750584934 |
| Entity Type | Individual |
| Full Name | DR. MAI TRAM PHAN |
| Credential | DDS |
| Practice Address |
2100 S Great Sw Pky Suite #102 Grand Prairie TX 75051 |
| Practice Telephone | 9723360077 |
| Practice Fax Number | 9723360077 |
| Mailing Telephone | 9723360077 |
| Mailing Fax Number | 9723360077 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 16409 | TX | Dental Providers |
| Street Address |
2100 S GREAT SW PKY SUITE #102 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750940342 | Laura Burdette | Counselor | 2801 Oster Dr., Building A Suite 300, Grand Prairie, TX 75051 | 2019-06-07 |
| 1871087460 | Cam Chau Huynh | Pharmacist | 2615 W Pioneer Pwky Suite 139, Grand Prairie, TX 75051 | 2018-06-18 |
| 1710416060 | Squeece Services LLC | Private Vehicle | 2304 Oak Ln Dr Suite 201, Grand Prairie, TX 75051 | 2017-06-09 |
| 1477000883 | Marshall Anderson | Specialist/Technologist | 101 Gopher Boulevard, Grand Prairie, TX 75051 | 2016-09-01 |
| 1932570934 | By His Grace Housecalls Inc | Nurse Practitioner | 2305 Oak Ln Ste 106, Grand Prairie, TX 75051 | 2015-10-15 |
| 1225453921 | Perfection Housecalls of Texas LLC | Nurse Practitioner | 2755 Furlong Dr, Grand Prairie, TX 75051 | 2014-03-04 |
| 1669619300 | Parker Health Care Services Inc | Nursing Care | 2305 Oak Lane Ste 211, Grand Prairie, TX 75051 | 2009-01-16 |
| 1861639718 | Jacqueline Lanae Fort | Contractor | 842 Pangburn St, Grand Prairie, TX 75051 | 2009-01-14 |
| 1386841625 | Omolara Abitoye | Pediatrics | 688 W Pioneer Pkwy Ste 120, Grand Prairie, TX 75051 | 2007-06-29 |
| 1437270220 | 303 Medical Clinic, P.a. | Family Medicine | 710 East Pioneer Parkway, Grand Prarie, TX 75051 | 2007-04-02 |
| Find all providers in zip 75051 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659980936 | Grand Prairie Desai Dental Pllc | Dentist | 5030 S Hwy 360 Ste 200, Grand Prairie, TX 75052-8277 | 2020-07-23 |
| 1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
| 1952946279 | Grand Prairie Modern Dentistry, PC | Dentist | 1215 Arkansas Ln Ste 100, Grand Prairie, TX 75052-7276 | 2019-11-11 |
| 1528569019 | Ideal Dental of Grand Prairie Pllc | Dentist | 3450 S Hwy 161, Suite 200, Grand Prairie, TX 75052-1438 | 2018-02-21 |
| 1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
| 1386180446 | Vu & Thien Dental Company, Pllc | Dentist | 2615 W Pioneer Pkwy, Suite 102, Grand Prairie, TX 75051-3619 | 2017-01-13 |
| 1508311986 | Surepoint Dental Professional Grand Prairie Pllc | Dentist | 355 E Westchester Pkwy, Suite 200, Grand Prairie, TX 75052-2847 | 2016-08-16 |
| 1104379106 | Allheart Dental Grand Prairie,pllc | Dentist | 2502 S Belt Line Rd, Suite 200, Grand Prairie, TX 75052-5345 | 2016-07-26 |
| 1528481561 | Nga Nguyen | Dentist | 2324 Goshawk St, Grand Prairie, TX 75052-3050 | 2014-01-28 |
| 1760819395 | Rachael Elaine O'brien | Dentist | 2827 Red Oak Dr, Grand Prairie, TX 75052-4425 | 2013-09-27 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75051 |
Please comment or provide details below to improve the information on DR. MAI TRAM 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.