DR. VANESSA PHAN (NPI# 1881865624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881865624 |
| Entity Type | Individual |
| Full Name | DR. VANESSA PHAN |
| Credential | D.M.D. |
| Practice Address |
3596 Hill Street Clarkston GA 30021 |
| Practice Telephone | 4044992216 |
| Mailing Telephone | 4044992216 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
012128 | GA | Dental Providers |
| Street Address |
3596 HILL STREET |
| City | CLARKSTON |
| State | GA |
| Zip Code | 30021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790956530 | Thu D. Vu | Dentist | 3596 Hill Street, Clarkston, GA 30021 | 2008-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578081808 | Marqueta A Coffer | Case Manager/Care Coordinator | 1380 Brockett Pl, Clarkston, GA 30021 | 2017-09-07 |
| 1063965143 | Bertukan Worku Demas | Pharmacist | 3671 Cobble Mill Ln, Clarkston, GA 30021 | 2016-07-26 |
| 1912341967 | Esther Kim | Family Medicine | 887 N Indian Creek Dr Ste A, Clarkston, GA 30021 | 2013-04-22 |
| 1265739437 | Carepoint Home Care, LLC | In Home Supportive Care | 4122 E Ponce Deleon Avenue, Unit 9, Clarkston, GA 30021 | 2011-02-23 |
| 1740310630 | Gentle Dental | Dentist | 3595 Hill St., Clarkston, GA 30021 | 2007-03-07 |
| 1679528491 | Ojoru Osunkoya | Pediatrics | 4112 E. Ponce De Leon, Clarkston, GA 30021 | 2006-05-23 |
| 1700849825 | Regina Allen Hardin | Pediatrics | 4112 E. Ponce De Leon Avenue, Clarkston, GA 30021 | 2006-04-10 |
| 1831514538 | Caudelle & Wilson Eye Care LLC | Optometrist | 320 N Jeff Davis Drive, Suite A, Fayetteville, GA 30021 | 2014-03-04 |
| 1144286410 | Melinda A Willingham | Pediatrics | 4112 E Ponce De Leon Ave, Clarkston, GA 30021 | 2006-04-25 |
| 1821577479 | Jerrica Kallio | Nurse Practitioner | 909 Verdi Way, Clarkston, GA 30021-1057 | 2018-08-13 |
| Find all providers in zip 30021 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164950440 | Matthew Bryson Thomas | Dentist | 6080 Dixie Hwy Ste A, Clarkston, MI 48346-3493 | 2017-05-31 |
| 1366758633 | Thomas Joseph Rydzon | Dentist | 7024 Scenic Rdg, Clarkston, MI 48346-1345 | 2010-08-25 |
| 1790956530 | Thu D. Vu | Dentist | 3596 Hill Street, Clarkston, GA 30021 | 2008-03-20 |
| 1790953818 | Janet Binkowski | Dentist | 6100 Dixie Hwy Ste A, Clarkston, MI 48346-3496 | 2008-02-11 |
| 1548481849 | Brian Paul Davidson | Dentist | 5720 Clarkston Rd, Clarkston, MI 48348-3715 | 2007-05-02 |
| 1780740712 | Scott W Joslin | Dentist | 844 6th St, Clarkston, WA 99403-2013 | 2006-12-27 |
| 1366500118 | Clarkston Oaks Family Dentistry | Dentist | 6100 Dixie Hwy, #a, Clarkston, MI 48346-3496 | 2006-12-05 |
| 1922176528 | Raymond A Waller | Dentist | 1303 16th Ave, Clarkston, WA 99403-2956 | 2006-12-01 |
| 1700958006 | Robert Marc Kleiner | Dentist | 4122 E Ponce De Leon Ave, Suite #5, Clarkston, GA 30021-1838 | 2006-11-14 |
| 1548339575 | Best Care Dental Inc. | Dentist | 3700 Market St Ste A2, Clarkston, GA 30021-2652 | 2006-11-06 |
| Find all providers in CLARKSTON | ||||
Please comment or provide details below to improve the information on DR. VANESSA 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.