Individual provider · Type 1 NPI

Kendra Phan, DMD

General Practice Dentistry · Warrenton, MO

NPI number 1477243319 Active

Practice location

19515 Brune Pkwy
Warrenton, MO 63383-6505

Mailing address

1500 Park Ave
St. Louis, MO 63104-3024

Other practice locations

  • 1500 Park Ave, St. Louis, MO 63104-3024 · (314) 881-8254

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001X2025018921 (MO)

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.

30 other providers at this address

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About NPI 1477243319

Kendra Phan, DMD's National Provider Identifier is 1477243319, issued on May 12, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Warrenton, MO. The record was last updated on May 29, 2025.