Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164872578 Individual Practitioner Female Practitioner

Dr. Phuong Kim Van , DMD

Dentist - General Practice • Clermont, FL

Professional Overview & Biography Verified Profile Summary

Dr. Phuong Kim Van, DMD is a registered healthcare professional specializing in Dentist - General Practice in Clermont, FL. Practice services are available at 3185 CITRUS TOWER BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3185 Citrus Tower Blvd

Clermont, FL 347116803

Telephone 3522718471
Fax 3522718472
Associated Practice Facility / Clinic
🏢 Bella Bella Dental Group Facility NPI 1740569607

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Clermont, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
33 Specialists

Practicing in Clermont, FL (7473 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 FL DN 21887

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 1992246847

Doctor of Dental Medicine

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active January 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2017

Registered at 3185 CITRUS TOWER BLVD, CLERMONT, FL 347116803 (Tel: 3522718471)

📍
Updated Business Mailing Address January 30, 2017

Registered at 3185 CITRUS TOWER BLVD, CLERMONT, FL 347116803 (Tel: 3522478471)

👤
Provider Name / Credentials Updated January 30, 2017

Recorded as PHUONG KIM VAN, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2017

Dentist (License #DN 21887 in FL)

NPI Profile Active December 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 14, 2016

Registered at 1445 E MITCHELL HAMMOCK RD, OVIEDO, FL 327659144 (Tel: 4079776464)

📍
Updated Business Mailing Address December 14, 2016

Registered at 3185 CITRUS TOWER BLVD, CLERMONT, FL 347116803 (Tel: 3522478471)

👤
Provider Name / Credentials Updated December 14, 2016

Recorded as PHUONG KIM VAN, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2016

Dentist (License #DN 21887 in FL)

🟢
Initial NPI Registration & Enumeration June 16, 2016

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: 1164872578
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2016
Last Update: January 30, 2017
Sole Proprietor: No

Mailing Address

3185 Citrus Tower Blvd

Clermont, FL 347116803

Phone: 3522478471

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.