Individual provider · Type 1 NPI
Andrew Kyanh Phan, DMD
General Practice Dentistry · Portland, OR
NPI number
1467604454
Active
Practice location
6919 SE 82nd Ave Ste 103, Tlc Dentistry
Portland, OR 97266-5873
Fax (503) 774-3547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D6465 (OR) |
| General Practice Dentistry | 1223G0001X | 38733 (CA) |
General Practice Dentistry: 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.
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- Larry Robert Franz, DMDGeneral Practice Dentistry Portland, OR NPI 1013026210
- Sergey Y. Kirpichenko, DMDGeneral Practice Dentistry Portland, OR NPI 1013166263
- Sheila Bennett, DMDGeneral Practice Dentistry Portland, OR NPI 1013169523
- Vincent Colasurdo, DMDGeneral Practice Dentistry Portland, OR NPI 1013317676
About NPI 1467604454
Andrew Kyanh Phan, DMD's National Provider Identifier is 1467604454, issued on Oct 21, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Jun 15, 2012.