DR. TRUNG QUANG PHAN (NPI# 1902391972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902391972 |
| Entity Type | Individual |
| Full Name | DR. TRUNG QUANG PHAN |
| Credential | DDS |
| Practice Address |
100 Continental Dr Elizabethtown PA 17022-2260 |
| Practice Telephone | 7173671336 |
| Mailing Telephone | 7173671336 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS041744 | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952861973 | Trung Phan | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Ml 0781, Internal Medicine, Cincinnati, OH 45219 | 2019-03-25 |
| 1912389016 | Trung Phan | Dentist | 4919 Douglas Ave, Suite #10, Des Moines, IA 50310-2775 | 2015-06-24 |
| 1881000164 | Trung Phan | Optometrist | 1150 Harter Pkwy, Yuba City, CA 95993-2642 | 2014-07-07 |
| Street Address |
100 CONTINENTAL DR |
| City | ELIZABETHTOWN |
| State | PA |
| Zip Code | 17022-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487868329 | Edward E White | Dentist | 100 Continental Dr, Elizabethtown, PA 17022-2260 | 2007-05-10 |
| 1730705302 | Tyler Hamilton Guthrie | Dentist | 100 Continental Dr, Elizabethtown, PA 17022-2260 | 2020-06-19 |
| 1619533288 | Katherine Holtzapple | Dentist | 100 Continental Dr, Elizabethtown, PA 17022-2260 | 2019-05-19 |
| 1073009718 | Tiffany Ngan | Dentist | 100 Continental Dr, Elizabethtown, PA 17022-2260 | 2018-07-05 |
| 1710471941 | Jessica Brooke Wharton | Dentist | 100 Continental Dr, Elizabethtown, PA 17022-2260 | 2018-06-20 |
| 1841784303 | Brandon William Grubic | Dentist | 100 Continental Dr, Elizabethtown, PA 17022-2260 | 2018-06-19 |
| 1407349475 | Jennifer Elizabeth Walden Eckhart | Dentist | 100 Continental Dr, Elizabethtown, PA 17022-2260 | 2018-06-13 |
| 1811380140 | White Family Dental - Elizabethtown, Pllc | Dentist | 100 Continental Dr, Elizabethtown, PA 17022-2260 | 2015-03-11 |
| 1265836423 | Ryan Capitan Rother | Dentist | 100 Continental Dr, Elizabethtown, PA 17022-2260 | 2014-10-17 |
| 1760769483 | Lydia C Baird | Dentist | 100 Continental Dr, Elizabethtown, PA 17022-2260 | 2011-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669967162 | William Joseph Borowski | Dentist | 100 Continental Drive, Elizabethtown, PA 17022 | 2018-06-27 |
| 1477042422 | Sarah Marie Altman-kopko | Speech-Language Pathologist | 928 Hedgewyck Ln, Elizabethtown, PA 17022 | 2018-05-05 |
| 1013421676 | Michele Marie Heffner | Counselor | 222 S. Market Street, Suite 104, Elizabethtown, PA 17022 | 2017-11-18 |
| 1003325184 | Caroline Elizabeth Weisser | Physician Assistant | 432 Cloverleaf Road, Elizathebtown, PA 17022 | 2017-09-21 |
| 1710359146 | Carissa Ressler LLC | Massage Therapist | 8 East High Street, Elizabethtown, PA 17022 | 2015-10-26 |
| 1386013092 | Matthew Jacob Hoover | Physical Therapist | 19 Silver Drive, Elizabethtown, PA 17022 | 2015-09-23 |
| 1275913584 | White Family Dental - Masonic Village Pllc | Dentist | 83 North Freemason Dr, Elizabethtown, PA 17022 | 2015-06-02 |
| 1851781801 | Central Pa Therapy Connections, LLC | Speech-Language Pathologist | 36 Creekside Dr., Elizabethtown, PA 17022 | 2015-01-29 |
| 1053719120 | Corrine Mcgrail | Occupational Therapist | 138 Raven Place, Elizabethtown, PA 17022 | 2014-12-05 |
| 1639506843 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 600 Free Mason Drive, Elizabethtown, PA 17022 | 2013-10-02 |
| Find all providers in zip 17022 | ||||
| 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 |
|---|---|---|---|---|
| 1669967162 | William Joseph Borowski | Dentist | 100 Continental Drive, Elizabethtown, PA 17022 | 2018-06-27 |
| 1215450184 | Robert Cleveland Gleason | Dentist | 3100 Ring Rd Ste 104, Elizabethtown, KY 42701-1282 | 2017-07-21 |
| 1275913584 | White Family Dental - Masonic Village Pllc | Dentist | 83 North Freemason Dr, Elizabethtown, PA 17022 | 2015-06-02 |
| 1467879031 | Jefferson Newbern, Dmd, Pllc | Dentist | 2030 N Dixie Hwy, Elizabethtown, KY 42701-9495 | 2014-03-21 |
| 1811332463 | Hammer and Vanzant Family Dentistry Psc | Dentist | 2405 Ring Road, Elizabethtown, KY 42701 | 2013-05-08 |
| 1003251455 | Ryan H Peace | Dentist | 2865 Ring Rd, Suite 100, Elizabethtown, KY 42701-9114 | 2013-04-29 |
| 1952659278 | Benko & Benko Associates | Dentist | 1083 Dairy Ln, Elizabethtown, PA 17022-9547 | 2012-08-16 |
| 1881924959 | Nicholas S Ising | Dentist | 1102 Woodland Dr, Elizabethtown, KY 42701-2750 | 2010-01-12 |
| 1437322492 | Community Health & Emergency Services, Inc. | Dentist | Il Route 146 Building 2, Elizabethtown, IL 62931 | 2008-04-10 |
| 1912189382 | Charles D. Allen, Jr., Dds, Pa | Dentist | 508 Mckay St, Elizabethtown, NC 28337-0235 | 2007-11-28 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 17022 |
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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.