person
Dr. Binh Thanh Phan, DMD
Pediatric Dentist in Princess Anne, Maryland
NPI 1215632070

Binh Thanh Phan is a Pediatric Dentist based in Salisbury, MD and is specialized in Pediatric Dentistry. Binh Thanh Phan practices in Princess Anne, MD and has the professional credentials of DMD. The NPI Number for Binh Thanh Phan is 1215632070 and holds a License No. (Maryland).

The current practice location address for Binh Thanh Phan is 12165 Elm Street, Princess Anne, MD and can be reached out via phone at 410-651-5151 and via fax at 410-651-4256.

Location: 12165 Elm Street, Princess Anne, MD, 21802-1978
person
Provider Profile Details
NPI Number
1215632070
Provider Name
Binh Thanh Phan
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
12165 Elm Street, Princess Anne, MD, 21802-1978
Phone Number
410-651-5151
Fax Number
410-651-4256
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
119591300 05 MD
institution
Provider Business Practice Location Address Details
Address
12165 Elm Street
City
State
Zip
21853-1358
Phone Number
410-651-5151
Fax Number
410-651-4256
person
Provider Business Mailing Address Details
Address
12165 Elm Street
City
State
Zip
21853-1358
Phone Number
410-651-5151
Fax Number
410-651-4256
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
LL917 (Maryland)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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