Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740012202 Individual Practitioner Male Practitioner

Dr. Kevin Phan , DDS

Dentist • Suwanee, GA

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Phan, DDS is a registered healthcare professional specializing in Dentist in Suwanee, GA. Practice services are available at 2855 LAWRENCEVILLE SUWANEE RD STE 360 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2855 Lawrenceville Suwanee Rd Ste 360

Suwanee, GA 300243596

Telephone 6784822197

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Suwanee, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
30 Specialists

Practicing in Suwanee, GA (2164 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: 2024-11-13
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA DN123575

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

3330 Piedmont Rd Ne Ste 13

Atlanta, GA 303051726

Phone: 4042375330

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1720833098

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location November 13, 2024

Registered at 2855 LAWRENCEVILLE SUWANEE RD STE 360, SUWANEE, GA 300243596 (Tel: 6784822197)

NPI Profile Active August 14, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2024

Registered at 3330 PIEDMONT RD NE STE 13, ATLANTA, GA 303051726 (Tel: 4042375330)

📍
Updated Business Mailing Address August 14, 2024

Registered at 410 TAMBEC TRCE NW, LILBURN, GA 300472860 (Tel: 4046633146)

👤
Provider Name / Credentials Updated August 14, 2024

Recorded as KEVIN PHAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2024

Dentist (License #DN123575 in GA)

🟢
Initial NPI Registration & Enumeration August 14, 2024

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: 1740012202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2024
Last Update: November 13, 2024
Sole Proprietor: No

Mailing Address

410 Tambec Trce Nw

Lilburn, GA 300472860

Phone: 4046633146

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.