DR. NHUNG PHAN (NPI# 1396397378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396397378 |
| Entity Type | Individual |
| Full Name | DR. NHUNG PHAN |
| Credential | DMD |
| Practice Address |
4380 Blue Diamond Rd Ste 102 Las Vegas NV 89139-7786 |
| Mailing Address |
1545 Wigwam Pkwy Apt 2522 Henderson NV 89074-8288 |
| Practice Telephone | 7024254424 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7211 | NV | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578896429 | Nhung Phan | Psychologist | 301 City Drive S, Orange, CA 92868 | 2009-09-10 |
| 1346409901 | Nhung Thanh Phan | Pharmacist | 1700 W Whittier Blvd, La Habra, CA 90631-3621 | 2008-06-08 |
| 1821165507 | Nhung Thi Phan | Dentist | 1365 Broadcloth St Ste 204, Fort Mill, SC 29715-4507 | 2006-11-29 |
| Street Address |
4380 BLUE DIAMOND RD STE 102 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89139-7786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730452699 | Hooman Fakhrai | Dentist | 4380 Blue Diamond Rd Ste 102, Las Vegas, NV 89139-7786 | 2012-02-22 |
| 1932768884 | Chanel Nguyen | Dentist | 4380 Blue Diamond Rd Ste 102, Las Vegas, NV 89139-7786 | 2019-06-12 |
| 1477082030 | Donna Karimzada | Dentist | 4380 Blue Diamond Rd Ste 102, Las Vegas, NV 89139-7786 | 2017-06-07 |
| 1508255878 | Bryce Haslam | Dentist | 4380 Blue Diamond Rd Ste 102, Las Vegas, NV 89139-7786 | 2015-01-09 |
| 1336541101 | Pacific Dental Services | Dentist | 4380 Blue Diamond Rd Ste 102, Las Vegas, NV 89139-7786 | 2014-09-23 |
| 1235547688 | Allison Elaine Tomlin | Dentist | 4380 Blue Diamond Rd Ste 102, Las Vegas, NV 89139-7786 | 2014-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440116 | Cynrg Enterprises LLC | Marriage & Family Therapist | 6578 Creekside Cellars Court, Las Vegas, NV 89139 | 2020-02-27 |
| 1922542968 | De Craig Ranch, LLC | General Acute Care Hospital | 4855 Blue Diamond Rd, Las Vegas, NV 89139 | 2016-12-09 |
| 1851847404 | Sports LLC | Physical Therapist | 7770 Dean Martin Dr Ste 307, Las Vegas, NV 89139 | 2016-09-01 |
| 1790134179 | Jubert C Aranas LLC | Dentist | 7460 S. Rainbow Blvd., Suite 100, Las Vegas, NV 89139 | 2016-06-07 |
| 1245533207 | Maryanne D. Phillips Md Apc | Anesthesiology | 7835 S Rainbow Bl, Ste 15, Las Vegas, NV 89139 | 2010-12-14 |
| 1093015612 | Eboni Abah | Behavioral Analyst | 777 South Jones Ave, Las Vegas, NV 89139 | 2010-10-29 |
| 1669600896 | Min Kyu Kim | Dentist | 8035 S Rainbow Blvd # 102, Las Vegas, NV 89139 | 2009-06-25 |
| 1790924587 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 3692 Blue Diamond Road, Las Vegas, NV 89139 | 2009-02-18 |
| 1487820973 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 4800 Blue Diamond Rd, Las Vegas, NV 89139 | 2008-05-05 |
| 1588842702 | Watanabe Diamond Dental Group, Professional Corporation | Dentist | 4380 Blue Diamond Road, Suite 102, Las Vegas, NV 89139 | 2008-02-11 |
| Find all providers in zip 89139 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851901755 | Christian J. Otteson | Dentist | 4750 W Sahara Ave Ste 12, Las Vegas, NV 89102-3559 | 2020-08-05 |
| 1811506082 | Jorge Jimenez-marquez, Dmd, Pllc | Dentist | 110 E Bruner Ave Ste 130, Las Vegas, NV 89183-5700 | 2020-07-23 |
| 1235747643 | Sean Patrick Fitzgibbons | Dentist | 6545 Ditmars St, Las Vegas, NV 89166-8026 | 2020-07-21 |
| 1467079806 | Cristian Omar Sosa | Dentist | 860 S Rancho Dr Ste 3, Las Vegas, NV 89106-3828 | 2020-07-01 |
| 1538786421 | Colette Laree Fuglaar | Dentist | 6974 Walden Park St, Las Vegas, NV 89166-8044 | 2020-06-26 |
| 1083233001 | Flamingo Dental Partners LLC | Dentist | 6680 W Flamingo Rd Ste A, Las Vegas, NV 89103-2189 | 2020-04-09 |
| 1356979603 | Kim Dewayne Kemmerly | Dentist | 5905 W Charleston Blvd Apt 250, Las Vegas, NV 89146-1375 | 2020-03-31 |
| 1730714569 | Gulati Highlands Dentistry, PC | Dentist | 4380 W. Cactus Ave, Suite 100, Las Vegas, NV 89141 | 2020-03-12 |
| 1598396236 | Najand Dental, LLC | Dentist | 8525 Blue Diamond Road Suite #110, Las Vegas, NV 89178 | 2020-01-31 |
| 1831739150 | Vivi Baldwin | Dentist | 7785 N Durango Dr Ste 140, Las Vegas, NV 89131-8002 | 2020-01-15 |
| Find all providers in LAS VEGAS | ||||
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| 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.