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

DR. ANDREW KYANH PHAN, D.M.D.

Active Sole Proprietor

DR. ANDREW KYANH PHAN, D.M.D. is a General Dentistry healthcare provider located in PORTLAND, Oregon. NPI 1467604454 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PORTLAND, OR

Registration Details

NPI Number
1467604454
Provider Type
Individual
Gender
Male
NPI Issued
Oct 21, 2008 (17.819266037479 yrs)
Last Updated
Jun 15, 2012
Licenses
D6465 (OR)
38733 (CA)
Sole Proprietor
Yes

Practice Information

Address
6919 SE 82ND AVE STE 103
TLC DENTISTRY
PORTLAND, OR, 972665873
Browse OR providers · Browse ZIP 97266
Phone
5037743546
Fax
5037743547
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in PORTLAND, OR

Name Credential NPI
DR. JEFFERY C. SPATHAS D.M.D. 1306849393
PROF. REBECCA K MORISSE DMD 1306841721
DR. RICKLAND GENE ASAI DMD 1922003292
DR. JONATHAN VINCENT ROXAS DDS 1710982830
DR. JONNA ELIZABETH HONGO DMD 1932104825
DR. JOHN ARTHUR MCCOMB D.M.D. 1437154465
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.