Organization Active NPI

Queanh Phan DMD PLLC

Doing business as Fantastic Dental Arts

  • Dental Clinic/Center
  • Naples, FL
National Provider Identifier
1639008139
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
QUEANH PHAN DMD PLLC
Doing business as
Fantastic Dental Arts
Practice address
8855 Immokalee Rd Unit 10
Naples, FL 34120-3928
Phone
(239) 348-3079
Fax
(239) 348-2338
NPI assigned
May 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Dr. Queanh Phan, DMDNPI 1861832941
Title
Owner/Dentist
Phone
(239) 250-3445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8855 Immokalee Rd Unit 10
Naples, FL 34120-3928

Mailing address

8855 Immokalee Rd Unit 10
Naples, FL 34120-3928
Phone (239) 348-3079

Other names 1

  • Fantastic Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

8855 Immokalee Rd
Unit 10
Naples, FL 34120
Phone (239) 250-3445

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1639008139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8855 IMMOKALEE RD UNIT 10",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341203928",
            "telephone_number": "239-348-3079",
            "fax_number": "239-348-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 IMMOKALEE RD UNIT 10",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341203928",
            "telephone_number": "239-348-3079",
            "fax_number": "239-348-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEANH PHAN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "QUEANH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "239-250-3445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fantastic Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.