Individual provider · Type 1 NPI

Kevin Phan, DDS

Dentist · Suwanee, GA

NPI number 1740012202 Active

Practice location

2855 Lawrenceville Suwanee Rd Ste 360
Suwanee, GA 30024-3596

Mailing address

410 Tambec Trce NW
Lilburn, GA 30047-2860

Other practice locations

  • 3330 Piedmont Rd NE Ste 13, Atlanta, GA 30305-1726 · (404) 237-5330

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN123575 (GA)

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 1740012202

Kevin Phan, DDS's National Provider Identifier is 1740012202, issued on Aug 14, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Suwanee, GA. The record was last updated on Nov 13, 2024.