Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164944146 Individual Practitioner Male Practitioner

Dr. Matthew John Phan , DDS

Dentist • Roselle, IL

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Phan, DDS is a registered healthcare professional specializing in Dentist in Roselle, IL. Practice services are available at 21 W IRVING PARK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21 W Irving Park Rd

Roselle, IL 601721117

Telephone 8058139567

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Roselle, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Roselle, IL (4751 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: 2024-07-18
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.032245

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. William Wolski , DDS

Dentist - General Practice

NPI 1073728671

Doctor of Dental Surgery

NPI 1477081032

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 18, 2024

Registered at 21 W IRVING PARK RD, ROSELLE, IL 601721117 (Tel: 8058139567)

📍
Updated Business Mailing Address July 18, 2024

Registered at 21 W IRVING PARK RD, ROSELLE, IL 601721117 (Tel: 8058139567)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2024

Dentist (License #019.032245 in IL)

NPI Profile Active July 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2017

Registered at 10611 FRANCE AVE S, BLOOMINGTON, MN 554313525 (Tel: 9528884125)

📍
Updated Business Mailing Address July 12, 2017

Registered at 212 10TH AVE S APT 712, MINNEAPOLIS, MN 554151374 (Tel: 8058139567)

👤
Provider Name / Credentials Updated July 12, 2017

Recorded as MATTHEW PHAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2017

Dentist (License #13890 in MN)

🟢
Initial NPI Registration & Enumeration July 12, 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: 1164944146
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2017
Last Update: July 18, 2024
Sole Proprietor: No

Mailing Address

21 W Irving Park Rd

Roselle, IL 601721117

Phone: 8058139567

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.