Individual provider · Type 1 NPI

Thanh Hoang Phan, DDS

Dental Anesthesiology · Peoria, AZ

NPI number 1144660358 Active

Practice location

14100 N 83rd Ave Ste 280
Peoria, AZ 85381-5660

Mailing address

7950 S Dromedary Dr
Tempe, AZ 85284-1348

Specialties and licenses

TaxonomyCodeLicense
Dental Anesthesiology Primary 1223D0004X8766 (AZ)
Dental Anesthesiology 1223D0004X62318 (CA)

Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

6 other providers at this address

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About NPI 1144660358

Thanh Hoang Phan, DDS's National Provider Identifier is 1144660358, issued on Jul 2, 2013. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Peoria, AZ. The record was last updated on Jan 11, 2017.