DR. MATTHEW JOHN PHAN DDS
NPI 1164944146
Dentist in Roselle, IL

Q: What is Matthew Phan's NPI number?

The NPI number for Matthew Phan is 1164944146. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Q: What is Matthew 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 Matthew Phan was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 July 12, 2017

21 W IRVING PARK RD, ROSELLE, IL 60172(805) 813-9567 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 18, 2024, Jul 12, 2017 (2 updates tracked since 2017).

On this page

About Dr. Matthew John Phan Dds NPPES

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

DR. MATTHEW JOHN PHAN DDS (NPI 1164944146) is an individual dentist in Roselle, Illinois, licensed in Illinois (019.032245) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1164944146

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. MATTHEW JOHN PHANCredential: DDS

Location Address21 W IRVING PARK RDRoselle, IL 60172-1117

Mailing Address21 W Irving Park RdRoselle, IL 60172-1117 · (805) 813-9567

Phone(805) 813-9567

Sole ProprietorNo

Enumeration DateJuly 12, 2017

Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration

NPPES CertifiedJuly 18, 2024

✔ NPI 1164944146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019.032245

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.

21 W IRVING PARK RD, Roselle, IL 60172

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM GERARD WOLSKI D.D.S.

Dentist (General Practice)

21 W IRVING PARK RD
ROSELLE, IL 60172

Dupage County (630) 582-7600

KATARZYNA ZELICHOWSKI

Dentist

21 W IRVING PARK RD
ROSELLE, IL 60172

Dupage County (630) 529-5813

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 Matthew Phan's NPI number?

The NPI number for Matthew Phan is 1164944146. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Matthew Phan located?

Matthew Phan practices at 21 W Irving Park Rd, Roselle, IL 60172. The listed phone number is (805) 813-9567.

What is Matthew Phan's specialty?

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

What insurance does Matthew Phan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 8 other insurers list Matthew Phan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Phan was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.