Doctor profile · Federal record
Dr. Jessica Phan, DDS
Dentist · Clinton Township, MI
- NPI 1811634074
- 4 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
44200 Garfield RD Ste 100
Clinton Township, MI 480381142
(586) 263-0770
Credentials & registration
- NPI registered
- May 2022 — 4 yrs on file
- Profile last updated
- June 6, 2023
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Michigan #2901601714
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1811634074. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$14
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimvie INC. | 1 | $14.00 |
By nature of payment
Frequently asked questions
What is Dr. Jessica Phan's medical specialty?
Dr. Jessica Phan practices Dentist in Clinton Township, MI.
Where does Dr. Jessica Phan practice?
Dr. Jessica Phan practices at 44200 Garfield RD Ste 100, Clinton Township, MI 480381142. Office phone: 5862630770.
What is Dr. Jessica Phan's NPI?
Dr. Jessica Phan's National Provider Identifier (NPI) is 1811634074, issued by NPPES.