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The T. Phan, DDS, MD Professional Corp

NPI 1548629694ActiveOrganization· Dentist, General Practice· Newbury Park, CA

Dentist, General Practice in Newbury Park, California, registered in NPPES in February 2016. The authorized official on file is Brittany Wharton, Office Manager.

Overview

NPI1548629694
StatusActive
Entity typeOrganization
NPI issuedFeb 17, 2016
Last updated in NPPESFeb 17, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X55427CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general dentists in Newbury Park

All 17 general dentists in Newbury Park · All general dentists in California