Individual provider · Type 1 NPI
Berry Nhat-Uyen Phan, DMD
Pediatric Dentistry · Huntington Beach, CA
NPI number
1295802288
Active
Practice location
7481 Edinger Avenue #307
Huntington Beach, CA 92647
Mailing address
12628 Newport Avenue
Tustin, CA 92780
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 21643 (MA) |
| Pediatric Dentistry Primary | 1223P0221X | 62290 (CA) |
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.
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About NPI 1295802288
Berry Nhat-Uyen Phan, DMD's National Provider Identifier is 1295802288, issued on Nov 29, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Huntington Beach, CA. The record was last updated on Aug 24, 2026.