Dr Hieu Ngoc Phan, DMD is a
Dentist - General Practice based in Batesburg-leesville, South Carolina. Dr Hieu Ngoc Phan is licensed to practice in South Carolina (license number DGD.8561 GD) and his current practice location is
533 W Church St, Batesburg-leesville, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(803) 532-3331.
NPI number for Dr Hieu Ngoc Phan is 1578944294 and his current mailing address is 1517 Hathaway Dr, Rock Hill, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578944294.
Healthcare Provider's Profile
| Full Name | Dr Hieu Ngoc Phan |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 533 W Church St, Batesburg-leesville, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578944294
- Provider Enumeration Date: 06/18/2015
- Last Update Date: 06/18/2015
Medical Identifiers
Medical identifiers for Dr Hieu Ngoc Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578944294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DGD.8561 GD (South Carolina) | 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 Hieu Ngoc 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 Address | Practice Location Address |
|---|
Dr Hieu Ngoc Phan, DMD
1517 Hathaway Dr,
Rock Hill, SC 29730-8966
Ph: (803) 397-9115 | Dr Hieu Ngoc Phan, DMD
533 W Church St,
Batesburg-leesville, SC 29006-1706
Ph: (803) 532-3331 |
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