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

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: July 19, 2026.

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
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043044613, enumerated as an "individual" on August 27, 2024.

The provider is located at 14501 S BASCOM AVE STE G LOS GATOS, CA 95032 and the phone number is (408) 214-6752.

Dentist with taxonomy code 122300000X.