Mai J. Phan, DMD
Individual provider Active NPI Dentist · Dover, MA
NPI 1265441471 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1265441471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 19603 (MA)
- Practice address
- 30 Springdale Ave
Dover, MA 02030 - Phone
- (508) 785-0356
- Fax
- (508) 785-0974
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dover Dental Associares PC | Past | Accepting new patients | |
| Mai T. Phan, D.M.D., P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19603 | MA | Yes |
Addresses
Primary practice location
30 Springdale Ave
Dover, MA 02030
Mailing address
PO Box 726
30 Springdale Ave
Dover, MA 02030
Phone (508) 785-0356
Other providers in Dover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.