Dr Dai Chinh Phan, DDS, MS - Dentist in Albuquerque, NM

Dr Dai Chinh Phan, DDS, MS is a Dentist - Prosthodontics based in Albuquerque, New Mexico. Dr Dai Chinh Phan is licensed to practice in Nebraska (license number 6032) and his current practice location is 1501 San Pedro Dr Se, Albuquerque, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 256-2778.

NPI number for Dr Dai Chinh Phan is 1013934041 and his current mailing address is 12025 Sullivan Ct Nw, Albuquerque, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013934041.

Contact Information

Dr Dai Chinh Phan, DDS, MS
1501 San Pedro Dr Se,
Albuquerque, NM 87108-5153
(505) 256-2778
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Dai Chinh Phan
GenderMale
SpecialityDentist - Prosthodontics
Location1501 San Pedro Dr Se, Albuquerque, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013934041
  • Provider Enumeration Date: 07/16/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Dai Chinh Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013934041NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0700XDentist - Prosthodontics 6032 (Nebraska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dai Chinh Phan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Dai Chinh Phan, DDS, MS
12025 Sullivan Ct Nw,
Albuquerque, NM 87114-6535

Ph: (505) 256-2778
Dr Dai Chinh Phan, DDS, MS
1501 San Pedro Dr Se,
Albuquerque, NM 87108-5153

Ph: (505) 256-2778

Reviews and Comments


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