KATHLEEN P PHAN DMD
NPI 1043044613
Dentist in Los Gatos, CA

Q: What is Kathleen Phan's NPI number?

The NPI number for Kathleen Phan is 1043044613. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Q: What is Kathleen Phan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Phan was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 27, 2024

14501 S BASCOM AVE STE G, LOS GATOS, CA 95032(408) 214-6752 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kathleen P Phan Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN P PHAN DMD (NPI 1043044613) is an individual dentist in Los Gatos, California, licensed in California (110051) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1043044613

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameKATHLEEN P PHANCredential: DMD

Location Address14501 S BASCOM AVE STE GLos Gatos, CA 95032-2003

Mailing Address634 True Wind Way Unit 803Redwood City, CA 94063-5733 · (408) 250-1375

Phone(408) 214-6752

Sole ProprietorYes

Enumeration DateAugust 27, 2024

NPPES CertifiedAugust 27, 2024

✔ NPI 1043044613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 110051

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

14501 S BASCOM AVE STE G, Los Gatos, CA 95032

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Phan's NPI number?

The NPI number for Kathleen Phan is 1043044613. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Kathleen Phan located?

Kathleen Phan practices at 14501 S Bascom Ave Ste G, Los Gatos, CA 95032. The listed phone number is (408) 214-6752.

What is Kathleen Phan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kathleen Phan was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.