Henry Phan DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HENRY PHAN DDS, PC

Practice address

2144 N Arizona Ave
Suite B-14
Chandler, AZ 85225-3453

Phone

(480) 726-6545

Fax

(480) 726-0660

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Henry Minh Phan, DDSNPI 1891784385

Title

President

Phone

(480) 545-6320

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fine Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Minh Phan, D.D.S

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1891784385
  NPD (past) Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760699094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 N ARIZONA AVE",
            "address_2": "SUITE B-14",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852253453",
            "telephone_number": "480-726-6545",
            "fax_number": "480-726-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 N ARIZONA AVE",
            "address_2": "SUITE B-14",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852253453",
            "telephone_number": "480-726-6545",
            "fax_number": "480-726-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY PHAN DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-545-6320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444092",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fine Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liam Hennessey, PT, DPT
• Stephanie Hennick, LAMFT
• Brennan Henning, DDS
• Bruce Davis Henning Jr.
• Rachael Aline Henninger, PA-C
• Brian S. Henry, D.C.
• Nicole Hensey, MS, PA-C
• Bethany Hensley
• Victoria Lee Heppler
• Her Haven Women'S Clinic

• Dentist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.