Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFF PHAN, DMD
DeactivatedJEFF PHAN, DMD is a Endodontics healthcare provider located in SNOHOMISH, Washington. NPI 1356862908 is deactivated in the NPPES registry. Verify at CMS.
Endodontics · SNOHOMISH, WA
This NPI has been deactivated.
The record was deactivated on July 8, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1356862908
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2017 (2.0081967213115 yrs)
- Last Updated
- May 12, 2022
- Deactivated
- Jul 8, 2019
- License
-
61262223 (WA)
Practice Information
- Address
-
1001 AVENUE D STE 100SNOHOMISH, WA, 982902081Browse WA providers · Browse ZIP 98290
- Phone
- 3605689694
- Primary Specialty
-
Endodontics
1223E0200X
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.