Van Phan, DDS

General Practice Dentistry · Morrow, GA

Individual Active NPI

NPI number 1194396713

Practice location

6319 Jonesboro Rd Ste a
Morrow, GA 30260-1730
Phone
(832) 420-3772

Open in Google Maps

NPI record

NPI
1194396713
Entity type
Individual (Type 1)
Enumeration date
July 6, 2021
Last updated
December 28, 2021
Certified
December 28, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN122378 GA
Dentist 122300000X DN122378 GA

About Dr. Phan

Van Phan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6319 Jonesboro Rd Ste a, Morrow, GA 30260-1730. The NPI number 1194396713 was assigned on July 6, 2021 and the record was last updated on December 28, 2021.

Dr. Phan lists 2 licenses in the registry: #DN122378 (GA) for General Practice Dentistry; #DN122378 (GA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Van Phan, DDS?

The NPI number is 1194396713.

What is the phone number of Dr. Phan?

The phone number listed for the practice location is (832) 420-3772.

Where is Dr. Phan located?

6319 Jonesboro Rd Ste a, Morrow, GA 30260-1730.

What is the taxonomy code for Dr. Phan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Morrow

All General Practice Dentistry providers in Morrow, GA →