Peter Binh Phan DMD Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PETER BINH PHAN DMD DENTAL CORPORATION

Doing business as

THE DENTAL COMPANY THE DENTAL GROUP OF PETER BINH PHAN DMD DENTAL CORP

Practice address

16229 S Western Ave Ste 2
Gardena, CA 90247-4660

Phone

(408) 256-3435

NPI assigned

Jul 24, 2018

Organization subpart

No

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

Authorized official

Name

Peter Binh Phan, DMD

Title

General Dentist

Phone

(408) 256-3435

Specialties & licenses 1

Addresses

Other names 1

• THE DENTAL COMPANY THE DENTAL GROUP OF PETER BINH PHAN DMD DENTAL CORP Doing business as

Locations

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1699252411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16229 S WESTERN AVE STE 2",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474660",
            "telephone_number": "408-256-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16229 S WESTERN AVE STE 2",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474660",
            "telephone_number": "408-256-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER BINH PHAN DMD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "BINH",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "408-256-3435",
        "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": "THE DENTAL COMPANY THE DENTAL GROUP OF PETER BINH PHAN DMD DENTAL CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Castaneda Perez
• Valandria Virginia Perkins
• Nancy Perla-Garcia
• Dana Mone'T Perry
• Fanny Marie Pestano, NONE
• Tremaine Ramone Peters
• Brittani Peterson
• Kaylah Peterson
• Leigh Karen Peterson, OTR/L
• Robert Peterson, D.O.

• Dental Clinic/Center in Gardena, CA
• Providers in Gardena, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.