Phong LY, DDS

Dentist · Coon Rapids, MN

Individual Active NPI

NPI number 1790131761

Practice location

9920 Foley Blvd NW Ste 110
Coon Rapids, MN 55433-5216
Phone
(763) 377-2110

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NPI record

NPI
1790131761
Entity type
Individual (Type 1)
Enumeration date
May 10, 2016
Last updated
November 12, 2025
Certified
November 12, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D13699 MN

About Dr. LY

Phong LY, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 9920 Foley Blvd NW Ste 110, Coon Rapids, MN 55433-5216. The NPI number 1790131761 was assigned on May 10, 2016 and the record was last updated on November 12, 2025.

Dr. LY lists a license in the registry: #D13699 (MN) 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 Phong LY, DDS?

The NPI number is 1790131761.

What is the phone number of Dr. LY?

The phone number listed for the practice location is (763) 377-2110.

Where is Dr. LY located?

9920 Foley Blvd NW Ste 110, Coon Rapids, MN 55433-5216.

What is the taxonomy code for Dr. LY?

The primary taxonomy code is 122300000X – Dentist.

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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