Dr. Jeff Phan , DMD
Dentist - Endodontics • Snohomish, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jeff Phan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jeff Phan, DMD was a registered Dentist - Endodontics practicing in Snohomish, WA. Throughout an active medical career spanning 2 years, Dr. Phan provided care at the practice location at 1001 AVENUE D STE 100 until profile deactivation on 2019-07-08.
Practice Location & Contact Primary Location
1001 Avenue D Ste 100
Snohomish, WA 982902081
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - Endodontics in Snohomish, WA
Practicing in Snohomish, WA (228 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2022-05-12NUCC Taxonomy Code: 1223E0200X
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Medicine
Dentist - General Practice
Dentist - General Practice
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Dentist
Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Dentist (License #61262223 in WA)
Registered at 1001 AVENUE D STE 100, SNOHOMISH, WA 982902081 (Tel: 3605689694)
Registered at 1001 AVENUE D STE 100, SNOHOMISH, WA 982902081 (Tel: 3605689694)
Dentist (License #103220 in CA)
Registered at 13625 RONALD W REAGAN BLVD STE 300, CEDAR PARK, TX 786132073 (Tel: 5128317429)
Registered at 13625 RONALD W REAGAN BLVD STE 300, CEDAR PARK, TX 786132073 (Tel: 5128317429)
Recorded as JEFF PHAN, DMD
Dentist (License #37211 in TX)
Record deactivated on July 08, 2019
Registered at 2014 5TH AVE, OROVILLE, CA 959655815 (Tel: 5304035744)
Registered at 2014 5TH AVE, OROVILLE, CA 959655815 (Tel: 5304035744)
Dentist (License #103220 in CA)
NPI status registered as active in NPPES database
Registered at 3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 921610002 (Tel: (858) 552-7525)
Registered at 3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 921610002 (Tel: 8585527525)
Recorded as JEFF PHAN, DMD
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1001 Avenue D Ste 100
Snohomish, WA 982902081
Phone: 3605689694
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