Phantastic Family Dental Center
NPI 1174800486ActiveOrganization· Dentist, General Practice· Pasadena, TX
Dentist, General Practice in Pasadena, Texas, registered in NPPES in November 2011. The authorized official on file is Minh Phan, D.D.S, President.
Overview
| NPI | 1174800486 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 15, 2011 |
| Last updated in NPPES | Nov 15, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 19016 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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