Anh-Ngoc Phan, DDS

General Practice Dentistry · Valley Park, MO

Individual Active NPI

NPI number 1710391925

Practice location

298 Vance Rd Ste 100
Valley Park, MO 63088-1597
Phone
(636) 861-0807

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NPI record

NPI
1710391925
Entity type
Individual (Type 1)
Enumeration date
June 16, 2014
Last updated
July 23, 2025
Certified
July 23, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2014017652 MO

Mailing address

1042 Kennedy Ln
Ballwin, MO 63011-3586
Phone
(314) 814-1107

About Dr. Phan

Anh-Ngoc Phan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 298 Vance Rd Ste 100, Valley Park, MO 63088-1597. The NPI number 1710391925 was assigned on June 16, 2014 and the record was last updated on July 23, 2025.

Dr. Phan lists a license in the registry: #2014017652 (MO) 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 Anh-Ngoc Phan, DDS?

The NPI number is 1710391925.

What is the phone number of Dr. Phan?

The phone number listed for the practice location is (636) 861-0807.

Where is Dr. Phan located?

298 Vance Rd Ste 100, Valley Park, MO 63088-1597.

What is the taxonomy code for Dr. Phan?

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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