Andrew Kyanh Phan, D.M.D.

General Practice Dentistry · Portland, OR

Individual Active NPI

NPI number 1467604454

Practice location

6919 SE 82ND Ave Ste 103
TLC Dentistry
Portland, OR 97266-5873
Phone
(503) 774-3546
Fax
(503) 774-3547

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NPI record

NPI
1467604454
Entity type
Individual (Type 1)
Enumeration date
October 21, 2008
Last updated
June 15, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D6465 OR
General Practice Dentistry 1223G0001X 38733 CA

About Dr. Phan

Andrew Kyanh Phan, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6919 SE 82ND Ave Ste 103, TLC Dentistry, Portland, OR 97266-5873. The NPI number 1467604454 was assigned on October 21, 2008 and the record was last updated on June 15, 2012.

Dr. Phan lists 2 licenses in the registry: #D6465 (OR) for General Practice Dentistry; #38733 (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 Andrew Kyanh Phan, D.M.D.?

The NPI number is 1467604454.

What is the phone number of Dr. Phan?

The phone number listed for the practice location is (503) 774-3546.

Where is Dr. Phan located?

6919 SE 82ND Ave Ste 103, TLC Dentistry, Portland, OR 97266-5873.

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.

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