Anh-Ngoc Phan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2014017652 Issued in MO

Practice address

298 Vance Rd Ste 100
Valley Park, MO 63088-1597

Phone

(636) 861-0807

NPI assigned

Jun 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sheer Smile LLC

  • Dental Clinic/Center
  • Valley Park, MO
  • NPI 1144102898
  NPD
• Meramec Valley Dental, Laura Hoover, DMD

  • Dentist
  • Valley Park, MO
  • NPI 1255454146
  NPD (past)

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1710391925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 KENNEDY LN",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113586",
            "telephone_number": "314-814-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 VANCE RD STE 100",
            "city": "VALLEY PARK",
            "state": "MO",
            "postal_code": "630881597",
            "telephone_number": "636-861-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "ANH-NGOC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2014017652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Murphy, COTA
• Christine Myung, PHARMD
• Michael Richard Niehaus, LPC
• Sherry Marie Nurmela, RN
• Shreya Patel
• Margaret Porch, PT
• Melinda Franco Przybylowski
• Salam Rajih, DMD
• Red Cardigan Counseling
• Renew Wound Care of Missouri LLC

• General Practice Dentistry in Valley Park, MO
• Providers in Valley Park, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.