Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710415716 Individual Practitioner Female Practitioner

Dr. Linh Phan , DDS

Dentist - General Practice • Woodbridge, VA

Professional Overview & Biography Verified Profile Summary

Dr. Linh Phan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Woodbridge, VA. Practice services are available at 12602 LAKE RIDGE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12602 Lake Ridge Dr

Woodbridge, VA 22192

Telephone 7034905050
Associated Practice Facility / Clinic
🏢 Gina C Pham Dds Pc Facility NPI 1801029590

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Woodbridge, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
67 Specialists

Practicing in Woodbridge, VA (3535 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 VA 0401416238

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

440 E Tampa St

Springfield, MO 658061131

Phone: 4178310150

440 E Tampa St

Springfield, MO 658061131

Phone: 4178310150

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Kian Momeni , DDS

Dentist - Pediatric Dentistry

NPI 1043731086

Doctor of Dental Surgery

NPI 1083192397

Doctor of Dental Surgery

Dr. Gina Pham , DDS

Dentist - Pediatric Dentistry

NPI 1861525818

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 July 27, 2018

Registered at 12602 LAKE RIDGE DR, WOODBRIDGE, VA 22192 (Tel: 7034905050)

📍
Updated Business Mailing Address July 27, 2018

Registered at 1501 CRYSTAL DR APT 323, ARLINGTON, VA 222024103 (Tel: 7209878321)

NPI Profile Active June 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2017

Registered at 440 E TAMPA ST, SPRINGFIELD, MO 658061131 (Tel: 4178310150)

📍
Updated Business Mailing Address June 02, 2017

Registered at 1600 S JOYCE ST APT 209, ARLINGTON, VA 222025104 (Tel: 7209878321)

👤
Provider Name / Credentials Updated June 02, 2017

Recorded as LINH PHAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 02, 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: 1710415716
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2017
Last Update: July 27, 2018
Sole Proprietor: Yes

Mailing Address

1501 Crystal Dr Apt 323

Arlington, VA 222024103

Phone: 7209878321

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.