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Active NPI 1770867020 Individual Practitioner Female Practitioner

Dr. Khanh Phan , DDS

Dentist - General Practice • Colleyville, TX

Professional Overview & Biography Verified Profile Summary

Dr. Khanh Phan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Colleyville, TX. Practice services are available at 5708 COLLEYVILLE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5708 Colleyville Blvd
Ste. A

Colleyville, TX 760346064

Telephone 8174288575
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Colleyville, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
29 Specialists

Practicing in Colleyville, TX (10570 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 20392

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA DDS 49187

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
NPI 1104004639

Doctor of Dental Surgery

Dr. John Gober , DDS

Dentist - Pediatric Dentistry

NPI 1598876922

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 05, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2011

Registered at 5708 COLLEYVILLE BLVD, STE. A, COLLEYVILLE, TX 760346064 (Tel: 8174288575)

📍
Updated Business Mailing Address October 05, 2011

Registered at 724 SAXON TRL, SOUTHLAKE, TX 760927704

👤
Provider Name / Credentials Updated October 05, 2011

Recorded as KHANH PHAN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2011

Dentist (License #20392 in TX)

🟢
Initial NPI Registration & Enumeration October 05, 2011

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: 1770867020
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2011
Last Update: October 05, 2011
Sole Proprietor: No

Mailing Address

724 Saxon Trl

Southlake, TX 760927704

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.