Doctor profile · Federal record
Dr. Thi Phan
General Practice Dentistry · San Diego, CA
- NPI 1114050200
- 19 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1540 Fern St
San Diego, CA 921021521
(619) 236-9549
fax (619) 234-0311 - Mailing address
-
37 Sanctuary Street
Irvine, CA 92620
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- California #40484
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114050200. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$30
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Straumann USA LLC | 1 | $29.61 |
By nature of payment
Frequently asked questions
What is Dr. Thi Phan's medical specialty?
Dr. Thi Phan practices General Practice Dentistry in San Diego, CA.
Where does Dr. Thi Phan practice?
Dr. Thi Phan practices at 1540 Fern St, San Diego, CA 921021521. Office phone: 6192369549.
What is Dr. Thi Phan's NPI?
Dr. Thi Phan's National Provider Identifier (NPI) is 1114050200, issued by NPPES.