Nam M Phan DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NAM M PHAN DMD PC

Practice address

1227 W Foothill Blvd
Upland, CA 91786-3681

Phone

(909) 608-0700

Fax

(909) 608-0704

NPI assigned

Oct 7, 2025

Organization subpart

No

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

Authorized official

Name

Nam M Phan, DMDNPI 1881924298

Title

President

Phone

(909) 608-0700

Specialties & licenses 1

Addresses

Other names 1

• Zenith Smiles Doing business as

Tax ID family

Nam M Phan DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nam M Phan DMD PC

  • Dental Clinic/Center
  • Henderson, NV
  • NPI 1154182632
  NPD tax ID

Locations

Practitioners 1

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

• Nam Minh Phan, DMD

  • Dentist
  • Henderson, NV
  • NPI 1881924298
  NPD Authorized official

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1992670103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863681",
            "telephone_number": "909-608-0700",
            "fax_number": "909-608-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863681",
            "telephone_number": "909-608-0700",
            "fax_number": "909-608-0704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Bryan Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927804401",
            "country_code": "US",
            "telephone_number": "714-838-0790",
            "fax_number": "714-838-5315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 W 7th St Unit 2",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900141906",
            "country_code": "US",
            "telephone_number": "213-688-2888",
            "fax_number": "213-688-2854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAM M PHAN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "NAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-608-0700",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zenith Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mysore R Nagaraja, M.D.
• Nahel Al Bouz MD a Professional Medical Corp
• Nima Naimi, D.O.
• Dwight Nairn
• Amal Eman Najjar
• Vikram Nanda-Kumar, DMD
• Vinuta Nandyala, PHARMD
• Dalia M Nassman, D.O.
• Nation Medical Group
• National Vision Inc

• General Practice Dentistry in Upland, CA
• Providers in Upland, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.