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Active NPI 1538122494 Individual Practitioner Male Practitioner

Dr. Tien Dinh Phan , DMD

Dentist - General Practice • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Tien Phan, DMD is a registered healthcare professional specializing in Dentist - General Practice in Fort Worth, TX. Practice services are available at 6901 MCCART AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6901 Mccart Ave
Suite 175

Fort Worth, TX 761336377

Telephone 8172638500
Associated Practice Facility / Clinic
🏢 Rapha Medical Care, Pa Facility NPI 1548367766

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
289 Specialists

Practicing in Fort Worth, 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 22334

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

3 Associated Practitioners
NPI 1093154791

Doctor of Dental Surgery

Dr. Deepa Gaddam , DDS

Dentist - General Practice

NPI 1578731568

Doctor of Dental Surgery

NPI 1699020750

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 04, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2015

Registered at 6901 MCCART AVE, SUITE 175, FORT WORTH, TX 761336377 (Tel: 8172638500)

📍
Updated Business Mailing Address December 04, 2015

Registered at 1200 W WALNUT HILL LN, SUITE 3950, IRVING, TX 750383029 (Tel: 9725141672)

👤
Provider Name / Credentials Updated December 04, 2015

Recorded as TIEN PHAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2015

Dentist (License #22334 in TX)

🟢
Initial NPI Registration & Enumeration April 10, 2006

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: 1538122494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2006
Last Update: December 04, 2015
Sole Proprietor: Yes

Mailing Address

1200 W Walnut Hill Ln, Suite 3950

Irving, TX 750383029

Phone: 9725141672

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.