H. Derick Phan in San Ramon - Orthodontics And Dentofacial Orthopedics
H. Derick Phan - NPI 1609075910
H. Derick Phan is a Orthodontics And Dentofacial Orthopedics in San Ramon, California. H. Derick Phan practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for H. Derick Phan is 1609075910. The last update date is 2008-07-29.
H. Derick Phan's current location address is 11040 Bollinger Canyon Rd, San Ramon, California. You can contact this provider via phone number 9256488588 and fax number 9256488008. The mailing address for H. Derick Phan is 11040 Bollinger Canyon Rd, San Ramon, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | H. Derick Phan |
|---|---|
| Address | 11040 Bollinger Canyon Rd, San Ramon, California |
| Phone Number | 9256488588 |
| Fax Number | 9256488008 |
| Sole Proprietor | Y |
| Credentials | D.D.S., C. |
NPI Number Detail
| NPI Number | 1609075910 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2008-07-29 |
Provider Mailing Address Detail
| Address | 11040 Bollinger Canyon Rd |
|---|---|
| City | San Ramon |
| State | California (CA) |
| Post Code | 945824959 |
| Phone Number | 9256488588 |
| Fax Number | 9256488008 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | D6446 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to H. Derick Phan by the Centers for Medicare & Medicaid Services?
The H. Derick Phan has been issued the NPI (National Provider Identifier) 1609075910 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where H. Derick Phan's facilities are geographically located?
The facilities of H. Derick Phan are physically situated at the following location: 11040 Bollinger Canyon Rd, San Ramon, CA, 945824959.
What is H. Derick Phan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for H. Derick Phan is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
On what date did the H. Derick Phan receive its 1609075910 assignment from the Centers for Medicare & Medicaid Services?
The H. Derick Phan was assigned its 1609075910 by the Centers for Medicare & Medicaid Services on 2007-07-16.
When was the information related to H. Derick Phan most recently updated or refreshed?
The details pertaining to the H. Derick Phan, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-29.