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Active NPI 1144600123 Individual Practitioner Male Practitioner

Dr. Duy-Phu Phan , DDS

Dentist - General Practice • Pleasanton, CA

Professional Overview & Biography Verified Profile Summary

Dr. Duy-Phu Phan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Pleasanton, CA. Practice services are available at 4555 HOPYARD RD STE C-19 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4555 Hopyard Rd Ste C-19

Pleasanton, CA 94588

Telephone 9179323217
Associated Practice Facility / Clinic
🏢 Visual Eyes Optometry Inc Facility NPI 1649694571

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pleasanton, CA

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

Practicing in Pleasanton, 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 DDS101456

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.

Secondary Practice Locations

1950 Elkhorn Ct Unit 321

San Mateo, CA 944032620

Phone: 9179323217

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location August 02, 2018

Registered at 4555 HOPYARD RD STE C-19, PLEASANTON, CA 94588 (Tel: 9179323217)

📍
Updated Business Mailing Address August 02, 2018

Registered at 7550 ST PATRICK WAY APT 558, DUBLIN, CA 945684887 (Tel: 9179323217)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2018

Dentist (License #DDS101456 in CA)

NPI Profile Active February 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 11, 2017

Registered at 20 WATERSIDE PLZ APT 9C, NEW YORK, NY 100102620 (Tel: 9179323217)

📍
Updated Business Mailing Address February 11, 2017

Registered at 20 WATERSIDE PLZ APT 9C, NEW YORK, NY 100102620 (Tel: 9179323217)

👤
Provider Name / Credentials Updated February 11, 2017

Recorded as DUY-PHU PHAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2017

Dentist (License #058598-1 in NY)

NPI Profile Active June 04, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 04, 2015

Registered at 5645 MAIN ST, FLUSHING, NY 113555045 (Tel: 7186702000)

📍
Updated Business Mailing Address June 04, 2015

Registered at 220 E 24TH ST APT 8H, NEW YORK, NY 100103941 (Tel: 9179323217)

👤
Provider Name / Credentials Updated June 04, 2015

Recorded as DUY-PHU PHAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 04, 2015

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: 1144600123
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2015
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

7550 St Patrick Way Apt 558

Dublin, CA 945684887

Phone: 9179323217

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.