Yen Huynh Phan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1859784 Issued in MA

Practice address

950 American Legion Hwy
Roslindale, MA 02131-4701

Phone

(617) 335-8232

Fax

(617) 323-3003

NPI assigned

Jun 12, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1881378776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 BABSON ST APT 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021262489",
            "telephone_number": "617-858-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 AMERICAN LEGION HWY",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021314701",
            "telephone_number": "617-335-8232",
            "fax_number": "617-323-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Forbes Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Braintree",
            "state": "MA",
            "postal_code": "021842626",
            "country_code": "US",
            "telephone_number": "781-412-1412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAN",
        "first_name": "YEN",
        "middle_name": "HUYNH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Ann Pearson, LAC, MSTCM
• Nicholas Peirce, RPH
• Natalia Perdomo
• Hayley Perelman
• Thanh Phan
• Sage Imogene Phoenix, LMHC (MA #9606)
• Evan Alex Piering
• Fitzgerald Pierre, MSW
• Joice J Pinto
• Laurent Plaisimond

• General Practice Dentistry in Roslindale, MA
• Providers in Roslindale, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.