Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477243319 Individual Practitioner Female Practitioner

Dr. Kendra Phan , DMD

Dentist - General Practice • Warrenton, MO

Professional Overview & Biography Verified Profile Summary

Dr. Kendra Phan, DMD is a registered healthcare professional specializing in Dentist - General Practice in Warrenton, MO. Practice services are available at 19515 BRUNE PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19515 Brune Pkwy

Warrenton, MO 633836505

Telephone 8448538937
Associated Practice Facility / Clinic
🏢 Compass Health, Inc. Facility NPI 1144415175

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Warrenton, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Warrenton, MO (2113 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: 2025-05-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 2025018921

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1500 Park Ave

Saint Louis, MO 631043024

Phone: 3148818254

Practice Associates & Co-Workers

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

40 Associated Practitioners
Charlene Atkins

Counselor - Professional

NPI 1003075482
NPI 1003270851

Master of Arts, LADCS, CPCI, Licensed Professional Counselor

Lindsey Rahe

Counselor - Professional

NPI 1003452186
Kayle Streb , LCSW

Social Worker - Clinical

NPI 1003503467

Licensed Clinical Social Worker

Lindsay Ingram , LPC

Counselor - Professional

NPI 1003527144

Licensed Professional Counselor

Dr. Nikesha Walters , DMD

Dentist - General Practice

NPI 1003545294

Doctor of Dental Medicine

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location May 29, 2025

Registered at 19515 BRUNE PKWY, WARRENTON, MO 633836505 (Tel: 8448538937)

👤
Provider Name / Credentials Updated May 29, 2025

Recorded as KENDRA PHAN, DMD

📍
Updated Practice Location October 10, 2023

Registered at 1500 PARK AVE, SAINT LOUIS, MO 631043024 (Tel: 3148818254)

📍
Updated Business Mailing Address October 10, 2023

Registered at 1500 PARK AVE, SAINT LOUIS, MO 631043024 (Tel: 3148818254)

NPI Profile Active May 12, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 12, 2023

Registered at 7234 DORSET AVE, SAINT LOUIS, MO 631303016 (Tel: 3144844522)

📍
Updated Business Mailing Address May 12, 2023

Registered at 7234 DORSET AVE, SAINT LOUIS, MO 631303016 (Tel: 3144844522)

👤
Provider Name / Credentials Updated May 12, 2023

Recorded as KENDRA PHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 12, 2023

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: 1477243319
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2023
Last Update: May 29, 2025
Sole Proprietor: No

Mailing Address

1500 Park Ave

Saint Louis, MO 631043024

Phone: 3148818254

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.