Individual provider · Type 1 NPI

Cindy Phan

Dentist · Boston, MA

NPI number 1225873334 Active

Practice location

1 Kneeland St
Boston, MA 02111-1527

Call (617) 636-6828 Map

Mailing address

9641 Stanford Ave
Garden Grove, CA 92841-4942

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X113101 (CA)

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 requiremen…

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About NPI 1225873334

Cindy Phan's National Provider Identifier is 1225873334, issued on Jun 28, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Boston, MA. The record was last updated on Aug 16, 2026.