DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THAO THI THU PHAN, DDS

Active Sole Proprietor

THAO THI THU PHAN, DDS is a General Dentistry healthcare provider located in LIVINGSTON, Tennessee. NPI 1164267282 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LIVINGSTON, TN

Registration Details

NPI Number
1164267282
Provider Type
Individual
Gender
Female
NPI Issued
Jun 29, 2024 (2.1168832015515 yrs)
Last Updated
Jun 29, 2024
License
12543 (TN)
Sole Proprietor
Yes

Practice Information

Address
508 N CHURCH ST # 100
LIVINGSTON, TN, 385701539
Browse TN providers · Browse ZIP 38570
Phone
9318233754
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in LIVINGSTON, TN

Name Credential NPI
DR. JOE THOMAS UPTON DDS 1598879165
DR. PAUL GREGORY JOHNSON DDS 1275666240
DR. LUTHER GREENE PUCKETT IV D.D.S. 1225155070
TORI MARIUSSO DMD 1679007348
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.