THE T. PHAN, DDS, MD PROFESSIONAL CORP (NPI# 1548629694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548629694 |
| Entity Type | Organization |
| Organization Name | THE T. PHAN, DDS, MD PROFESSIONAL CORP |
| Other Organization Name | NEWBURY DENTAL STUDIO |
| Practice Address |
1620 Newbury Rd Ste 5 Newbury Park CA 91320-3401 |
| Practice Telephone | 8056004540 |
| Practice Fax Number | 8054560768 |
| Mailing Telephone | 8056004540 |
| Mailing Fax Number | 8054560768 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |
| Authorized Official Name | MS. BRITTANY WHARTON (OFFICE MANAGER) |
| Authorized Official Telephone | 8056004540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
55427 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Newbury Dental Studio | Doing Business As Name - Organization |
| Street Address |
1620 NEWBURY RD STE 5 |
| City | NEWBURY PARK |
| State | CA |
| Zip Code | 91320-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083114045 | Steven G. Johnson Dental Corporation | Dentist | 1620 Newbury Rd Ste 5, Newbury Park, CA 91320-3401 | 2018-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235691452 | Velvet Hearts Professional Home Care Agency LLC | Chore Provider | 409 Calle Veracruz, Newbury Park, CA 91320 | 2019-04-05 |
| 1235603325 | Jefix LLC | Durable Medical Equipment & Medical Supplies | 1351 Alessandor Drive, Newberry Park, CA 91320 | 2019-01-11 |
| 1972074987 | Ayreen Sonbol | Non-emergency Medical Transport (VAN) | 79 N Madrid Ave, Newbury Park, CA 91320 | 2018-12-17 |
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| 1750874996 | Lady Mary Lhaine Escoto Sagun | Registered Nurse | 1550 Pachino Circle Apt G, Thousand Oaks, CA 91320 | 2018-06-12 |
| 1528410784 | Cristina Rose Markiewicz | Dentist | 400 S. Reino Road, Suite 100, Newbury Park, CA 91320 | 2016-07-12 |
| 1639559552 | Joshua Tree Healthcare, Inc. | Home Health | 2545 W Hillcrest Dr Ste 130a, Thousand Oaks, CA 91320 | 2015-06-05 |
| 1841679651 | Vesper Healthcare, Inc. | Hospice Care, Community Based | 2545 W Hillcrest Dr Ste 130, Thousand Oaks, CA 91320 | 2015-05-26 |
| 1376952580 | Lori Diamond | Pharmacist | 512 Ventu Park Rd, Thousand Oaks, CA 91320 | 2014-08-13 |
| 1275942807 | J J Abbott Dds, PC | Dentist | 501-i S. Reino Rd #214, Newbury Park, CA 91320 | 2014-08-07 |
| Find all providers in zip 91320 | ||||
| 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 |
|---|---|---|---|---|
| 1508204967 | Huss Dental Corporation | Dentist | 501 S Reino Rd, Suite G, Newbury Park, CA 91320-4269 | 2013-06-07 |
| 1861523870 | Glen A Fung | Dentist | 2860 Camino Dos Rios, Newbury Park, CA 91320-1145 | 2007-03-08 |
| 1255476164 | Lei Yin | Dentist | 1000 Newbury Rd Ste 255, Newbury Park, CA 91320-6444 | 2007-02-20 |
| 1710049457 | Greg Rubin | Dentist | 1000 Newbury Rd Ste 138, Newbury Park, CA 91320-6438 | 2006-12-15 |
| 1437265493 | Sheila Merat | Dentist | 1620 Newbury Rd, Suite 5, Newbury Park, CA 91320-3401 | 2006-08-22 |
| 1164456117 | Julie Ann Valde Lopez | Dentist | 2814 Camino Dos Rios, Suite #401, Newbury Park, CA 91320-1134 | 2006-07-10 |
| 1083114045 | Steven G. Johnson Dental Corporation | Dentist | 1620 Newbury Rd Ste 5, Newbury Park, CA 91320-3401 | 2018-02-16 |
| 1689998650 | Christopher Charles Huber | Dentist | 2377 Michael Dr, Newbury Park, CA 91320-3233 | 2010-03-19 |
| 1477693455 | Milton George Zweig | Dentist | 400 S Reino Rd, Suite 100, Newbury Park, CA 91320-4284 | 2007-02-07 |
| 1235242231 | Lila Abedinzadeh | Dentist | 1000 Newbury Rd, Suite 150, Newbury Park, CA 91320-6435 | 2006-08-16 |
| Find all providers in NEWBURY PARK | ||||
| City | NEWBURY PARK |
| Zip Code | 91320 |
Please comment or provide details below to improve the information on THE T. PHAN, DDS, MD PROFESSIONAL CORP.
| 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.