Mai T. Phan, D.M.D., P.C.
Organization Active NPI General Practice Dentistry · Dover, MA
NPI 1932367489 · NPPES record last updated May 30, 2008
Key facts
- NPI
- 1932367489
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 19603 (MA)
- Legal business name
- MAI T. PHAN, D.M.D., P.C.
- Practice address
- 30 Springdale Ave
Dover, MA 02030-2374 - Phone
- (508) 785-0356
- Fax
- (508) 785-0974
- NPI assigned
- May 30, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Mai T Phan, DMD
- Title
- President
- Phone
- (508) 785-0356
Practitioners 1
-
Mai J. Phan, DMD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 19603 | MA | Yes |
Addresses
Primary practice location
30 Springdale Ave
Dover, MA 02030-2374
Mailing address
30 Springdale Ave
P.O. Box 726
Dover, MA 02030-2374
Phone (508) 785-0356
Other providers in Dover, MA
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- Harold S Landy
- Ayako C Lawrence
- Vered Mania
- Mark C Manikian
- Margaret Merva McAllister
- Kara McAuliffe
- Karel Delphine Morton
All providers in Dover, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.