DR. THANH HOANG PHAN


Address: 14100 N 83rd Ave Ste 280, Peoria, AZ 85381-5660
Phone: 7144678672

DR. THANH HOANG PHAN (NPI# 1144660358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144660358
Entity Type Individual
Full Name DR. THANH HOANG PHAN
Credential DDS
Practice Address 14100 N 83rd Ave Ste 280
Peoria
AZ 85381-5660
Mailing Address 7950 S Dromedary Dr
Tempe
AZ 85284-1348
Practice Telephone 7144678672
Mailing Telephone 7144678672
Enumeration Date 2013-07-02
Last Update Date 2017-01-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223D0004X Dentist
Specialization: Dentist Anesthesiologist
62318 CA Dental Providers
Y 1223D0004X Dentist
Specialization: Dentist Anesthesiologist
8766 AZ Dental Providers

Other Providers THANH PHAN

NPI Name Taxonomy Address Enumeration
1194217919 Thanh Ngoc Phan Pharmacist 927 E Shaw, Pasadena, TX 77506 2018-06-06
1528250701 Thanh Phan Physician Assistant 15950 Eldorado Pkwy, Ste 400, Frisco, TX 75035-5802 2007-08-13
1124656004 Thanh Minh Phan Student in an Organized Health Care Education/Training Program 5246 Brittany Dr, Baton Rouge, LA 70808-9136 2020-03-27
1841766276 Thanh Phan Psychologist 780 American Legion Hwy, Roslindale, MA 02131-3908 2018-10-24
1568716413 Thanh Huong Phan Pharmacist 2101 S Queen St, York, PA 17403-4808 2012-10-30
1528311305 Thanh Van Thi Phan Pharmacist 1363 W Henderson Ave, Porterville, CA 93257-1456 2012-10-18
1366563504 Thanh T Phan Dentist 629 Cooper Rd, Oxnard, CA 93030-5427 2007-04-03
1417019969 Thanh Huu Phan Surgery 4000 Highland Rd, #110, Waterford Twp, MI 48328 2006-12-14

Office Location

Street Address 14100 N 83RD AVE STE 280
City PEORIA
State AZ
Zip Code 85381-5660

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114565744 West Valley Braces Dentist 14100 N 83rd Ave Ste 280, Peoria, AZ 85381-5660 2019-12-13
1689025256 Arizona Dental Anesthesia Pllc Dentist 14100 N 83rd Ave Ste 280, Peoria, AZ 85381-5660 2016-06-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932712122 Vicki L Grenier Registered Nurse 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 2020-08-26
1568934107 Earthwalk Wellness Group, LLC Social Worker 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 2018-12-20
1316412059 John & Biljana Feeley Dba J & B Assisted Living IIi Inc Community Based Residential Treatment Facility, Mental Illness 7331 W Sweetwater Avenue, Peoria, AZ 85381 2018-10-09
1467958611 Arizona Community Pharmacy Pharmacy 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 2018-04-04
1083112106 Marissa Lynn Desjardins Physical Therapist 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 2018-01-23
1235651399 Power Back Batteries LLC Durable Medical Equipment & Medical Supplies 9054 West Lisbon Ave, Peoria, AZ 85381 2017-07-11
1457897027 Sonoran Sky Community Services Community Based Residential Treatment Facility, Mental Illness 7524 W. Alexandria Way, Peoria, AZ 85381 2017-01-06
1386023448 Scott Boone Registered Nurse 7715 W Watson Ln, Peoria, AZ 85381 2015-05-22
1881084838 Pinnacle Women's Center LLC Obstetrics & Gynecology 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 2015-01-29
1245637081 Kathi Locke Counselor 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 2014-11-21
Find all providers in zip 85381

Taxonomy Information

Taxonomy Code 1223D0004X
Grouping Dental Providers
Classification Dentist
Specialization Dentist Anesthesiologist

Taxonomy Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689025256 Arizona Dental Anesthesia Pllc Dentist 14100 N 83rd Ave Ste 280, Peoria, AZ 85381-5660 2016-06-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699252544 Green States Anesthesia Pllc Dentist 3343 E Indigo Bay Ct, Gilbert, AZ 85234-1737 2018-07-24
1760847628 Sleepcare Dental LLC Dentist 625 W Deer Valley Rd Ste 103622, Phoenix, AZ 85027-2138 2015-12-20
1326420415 Trent Nielsen Dentist 12417 W Encanto Blvd, Avondale, AZ 85392-6515 2015-06-24
1184799538 Reuben Nelson Turner Dentist 625 W Southern Ave Ste E-145, Mesa, AZ 85210-5030 2006-11-21
1811066541 Mari Cynthia Fukami Dentist 625 W Southern Ave, Ste E-145, Mesa, AZ 85210-5030 2006-11-07
1376108035 Tcp Anesthesia Services Pllc Dentist 695 E Cottonwood Ln, Casa Grande, AZ 85122-2023 2019-05-07
1881185791 Comfort Care Anesthesia, LLC Dentist 13601 N Canterbury Dr, Phoenix, AZ 85023-6290 2018-05-25
1700241809 Arizona Anesthesia for Dentistry, LLC Dentist 6600 N Oracle Rd, Ste 110, Tucson, AZ 85704-5676 2015-12-16
1447641139 Minsoek Kang Dentistry, Pllc Dentist 15033 W Bell Rd, Ste 175, Surprise, AZ 85374-3217 2015-02-17
1518366111 East Valley Dental Anesthesia, Pllc Dentist 67 S Higley Rd, Suite 103, Gilbert, AZ 85296-1166 2014-08-19
Find all providers with the same taxonomy

Competitor

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City PEORIA
Zip Code 85381

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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