Phantastic Dental Care PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PHANTASTIC DENTAL CARE PA

Practice address

1705 Clinton Dr
Galena Park, TX 77547-3224

Phone

(713) 944-8008

Fax

(713) 485-5020

NPI assigned

Nov 17, 2021

Last updated

Nov 17, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Minh Hong Phan, DDSNPI 1417027186

Title

President

Phone

(713) 944-8008

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Minh H Phan, DDS

  • Dentist
  • Pasadena, TX
  • NPI 1417027186
  NPD Authorized official
• Mercedes Minh-Thanh Phan, DDS

  • General Practice Dentistry
  • Pasadena, TX
  • NPI 1760165336
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1467118182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042742",
            "telephone_number": "713-944-8008",
            "fax_number": "713-485-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 CLINTON DR",
            "city": "GALENA PARK",
            "state": "TX",
            "postal_code": "775473224",
            "telephone_number": "713-944-8008",
            "fax_number": "713-485-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHANTASTIC DENTAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "HONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-944-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monarch
• Monarch Family Health Services LLC
• Monarch Family Health Servies
• Nelly N. Norton
• Graciela Perarnau de Loukanis, LMFT-S, LPC-S
• Deziree T Propes
• Jessie Rodriguez
• Byrishia L Williams, NP
• Latanna Danshell Winn

• General Practice Dentistry in Galena Park, TX
• Providers in Galena Park, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.