Nhung Thi Phan, D.M.D.

Dentist · Fort Mill, SC

Individual Active NPI

NPI number 1821165507

Practice location

1365 Broadcloth St Ste 204
Fort Mill, SC 29715-4507
Phone
(803) 548-8858
Fax
(803) 548-8860

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NPI record

NPI
1821165507
Entity type
Individual (Type 1)
Enumeration date
November 29, 2006
Last updated
May 24, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 4270 SC

About Dr. Phan

Nhung Thi Phan, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1365 Broadcloth St Ste 204, Fort Mill, SC 29715-4507. The NPI number 1821165507 was assigned on November 29, 2006 and the record was last updated on May 24, 2019.

Dr. Phan lists a license in the registry: #4270 (SC) 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 Nhung Thi Phan, D.M.D.?

The NPI number is 1821165507.

What is the phone number of Dr. Phan?

The phone number listed for the practice location is (803) 548-8858.

Where is Dr. Phan located?

1365 Broadcloth St Ste 204, Fort Mill, SC 29715-4507.

What is the taxonomy code for Dr. Phan?

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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