Bruce Long-Tan Phung, D.D.S.

General Practice Dentistry · Chino, CA

Individual Active NPI

NPI number 1255590592

Practice location

3817 Grand Ave
Suite D
Chino, CA 91710-5443
Phone
(909) 613-1970
Fax
(909) 613-1972

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NPI record

NPI
1255590592
Entity type
Individual (Type 1)
Enumeration date
June 2, 2008
Last updated
June 2, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 47548 CA

About Dr. Phung

Bruce Long-Tan Phung, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3817 Grand Ave, Suite D, Chino, CA 91710-5443. The NPI number 1255590592 was assigned on June 2, 2008 and the record was last updated on June 2, 2008.

Dr. Phung lists a license in the registry: #47548 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bruce Long-Tan Phung, D.D.S.?

The NPI number is 1255590592.

What is the phone number of Dr. Phung?

The phone number listed for the practice location is (909) 613-1970.

Where is Dr. Phung located?

3817 Grand Ave, Suite D, Chino, CA 91710-5443.

What is the taxonomy code for Dr. Phung?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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