Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902391972 Individual Practitioner Male Practitioner

Dr. Trung Quang Phan , DDS

Dentist - General Practice • Round Rock, TX

Professional Overview & Biography Verified Profile Summary

Dr. Trung Phan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Round Rock, TX. Practice services are available at 581 UNIVERSITY BLVD #400 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

581 University Blvd #400

Round Rock, TX 78665

Telephone 5122443333
Fax 5123410631
Associated Practice Facility / Clinic
🏢 Family Total Dental Pa Facility NPI 1013337500

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Round Rock, TX

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

Practicing in Round Rock, 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 35899

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 PA DS041744

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
453991801 (TX)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Jessica Wharton , DDS

Dentist - General Practice

NPI 1710471941

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 14, 2023

Registered at 581 UNIVERSITY BLVD #400, ROUND ROCK, TX 78665 (Tel: 5122443333)

📍
Updated Business Mailing Address August 14, 2023

Registered at 581 UNIVERSITY BLVD #400, ROUND ROCK, TX 78665 (Tel: 5122443333)

NPI Profile Active June 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2018

Registered at 100 CONTINENTAL DR, ELIZABETHTOWN, PA 170222260 (Tel: 7173671336)

📍
Updated Business Mailing Address June 22, 2018

Registered at 100 CONTINENTAL DR, ELIZABETHTOWN, PA 170222260 (Tel: 7173671336)

👤
Provider Name / Credentials Updated June 22, 2018

Recorded as TRUNG PHAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2018

Dentist (License #DS041744 in PA)

🟢
Initial NPI Registration & Enumeration June 22, 2018

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: 1902391972
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2018
Last Update: August 14, 2023
Sole Proprietor: Yes

Mailing Address

581 University Blvd #400

Round Rock, TX 78665

Phone: 5122443333

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.