Anthony Phan, DMD
Dentist, General Practice in San Jose, CA. Individual provider (NPI-1).
NPI number1700976552
StatusActive
Last updated in NPPESOct 28, 2026
Details
- NPI
- 1700976552
- Entity type
- Individual (NPI-1)
- Name
- Anthony Phan
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2006
- Certification date
- Oct 28, 2026
- Last updated
- Oct 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 59128 | CA | Yes |
Practice location
2060 Aborn Rd Ste 125San Jose, CA 95121-1586
Phone 408-729-9700
Mailing address
40910 Fremont BlvdFremont, CA 94538-4375
Phone 510-770-8040
Other practice locations
5504 Monterey Rd
San Jose, CA 95138-1529
San Jose, CA 95138-1529
Phone 408-729-9700 · Fax 408-574-0175
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