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Active NPI 1497275358 Individual Practitioner Male Practitioner

Dr. Alex Phan , DDS

Dentist - General Practice • Urbandale, IA

Professional Overview & Biography Verified Profile Summary

Dr. Alex Phan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Urbandale, IA. Practice services are available at 3124 104TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3124 104th St

Urbandale, IA 503223818

Telephone 5152767925
Associated Practice Facility / Clinic
🏢 Thomas R Tippinsdds Pc Facility NPI 1053405936

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Urbandale, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Urbandale, IA (1303 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: 2026-03-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA DDS-09434

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

2 Associated Practitioners
Dr. Thomas Tippins , DDS

Dentist - General Practice

NPI 1043310543

Doctor of Dental Surgery

NPI 1386084895

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address March 23, 2026

Registered at 7331 MOONLIGHT DR, JOHNSTON, IA 501314722 (Tel: 5632717296)

NPI Profile Active June 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2017

Registered at 3124 104TH ST, URBANDALE, IA 503223818 (Tel: 5152767925)

📍
Updated Business Mailing Address June 22, 2017

Registered at 220 RIVER ST APT 2C, IOWA CITY, IA 522463551

👤
Provider Name / Credentials Updated June 22, 2017

Recorded as ALEX PHAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2017

Dentist (License #DDS-09434 in IA)

🟢
Initial NPI Registration & Enumeration June 22, 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: 1497275358
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2017
Last Update: March 23, 2026
Sole Proprietor: Yes

Mailing Address

7331 Moonlight Dr

Johnston, IA 501314722

Phone: 5632717296

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.