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Active NPI 1982043451 Individual Practitioner Male Practitioner

Dr. Phu Van , DMD

Dentist • Saint Cloud, FL

Professional Overview & Biography Verified Profile Summary

Dr. Phu Van, DMD is a registered healthcare professional specializing in Dentist in Saint Cloud, FL. Practice services are available at 2050 OLD HICKORY TREE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2050 Old Hickory Tree Rd

Saint Cloud, FL 347728926

Telephone 9545791843
Associated Practice Facility / Clinic
🏢 St. Cloud Eye Care Facility NPI 1093035032

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Saint Cloud, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Saint Cloud, FL (6414 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

CMS Verified: 2022-06-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN20156

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

511 W Brandon Blvd

Brandon, FL 335115003

Phone: 8133815632

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1144459215

Doctor of Optometry

Dr. Jennifer Van , DMD

Dentist - General Practice

NPI 1346447828

Doctor of Dental Medicine

NPI 1528251907

Doctor of Optometry

Dr. Catherine Ball , DMD

Dentist - General Practice

NPI 1528371366

Doctor of Dental Medicine

Dr. Jim Van , DDS

Dentist - General Practice

NPI 1649796293

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location June 06, 2022

Registered at 2050 OLD HICKORY TREE RD, SAINT CLOUD, FL 347728926 (Tel: 9545791843)

NPI Profile Active June 25, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2013

Registered at 511 W BRANDON BLVD, BRANDON, FL 335115003 (Tel: 8133815632)

📍
Updated Business Mailing Address June 25, 2013

Registered at 711 SW 94TH TER, PEMBROKE PINES, FL 330251152 (Tel: 8133815632)

👤
Provider Name / Credentials Updated June 25, 2013

Recorded as PHU VAN, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2013

Dentist (License #DN20156 in FL)

🟢
Initial NPI Registration & Enumeration June 18, 2013

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: 1982043451
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2013
Last Update: June 06, 2022
Sole Proprietor: No

Mailing Address

711 Sw 94th Ter

Pembroke Pines, FL 330251152

Phone: 8133815632

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.