Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548780604 Individual Practitioner Female Practitioner

Dr. Thi Thi Cong Phan , DDS

Dentist - General Practice • Carlsbad, CA

Professional Overview & Biography Verified Profile Summary

Dr. Thi Thi Phan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Carlsbad, CA. Practice services are available at 2630 EL CAMINO REAL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2630 El Camino Real

Carlsbad, CA 920081214

Telephone 7604341761
Associated Practice Facility / Clinic
🏢 Leclair Dental Inc Facility NPI 1558255331

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Carlsbad, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
57 Specialists

Practicing in Carlsbad, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 49393

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1073859906

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2017

Registered at 2630 EL CAMINO REAL, CARLSBAD, CA 920081214 (Tel: 7604341761)

📍
Updated Business Mailing Address June 21, 2017

Registered at 619 LANCASHIRE PL, SAN MARCOS, CA 920698108 (Tel: 7608073669)

👤
Provider Name / Credentials Updated June 21, 2017

Recorded as THI THI PHAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2017

Dentist (License #49393 in CA)

🟢
Initial NPI Registration & Enumeration June 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548780604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2017
Last Update: June 21, 2017
Sole Proprietor: Yes

Mailing Address

619 Lancashire Pl

San Marcos, CA 920698108

Phone: 7608073669

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.