MATT T PHAN DMD PC
NPI 1366109357
Clinic/Center - Dental in Tustin, CA

Active since November 24, 2021
13882 NEWPORT AVE STE B, TUSTIN, CA 92780(949) 440-1105(949) 440-1107 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matt T Phan Dmd Pc NPPES

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

MATT T PHAN DMD PC (NPI 1366109357), doing business as M Dental Studio, is a healthcare organization registered as a dental in Tustin, California and active in the NPI registry since November 2021. The organization lists Matt Phan, Owner, as its authorized official.

NPPES Registry Identity

NPI1366109357
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMATT T PHAN DMD PC
Location Address13882 NEWPORT AVE STE BTustin, CA 92780-4666
Mailing Address13882 Newport Ave Ste BTustin, CA 92780-4666 · (949) 440-1105 · Fax (949) 440-1107
Fax(949) 440-1107
Organization SubpartNo
Authorized OfficialMatt PhanOwner · (949) 440-1105
Enumeration DateNovember 24, 2021
NPPES CertifiedNovember 24, 2021
NPI 1366109357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
13882 NEWPORT AVE STE B, Tustin, CA 92780

Other Names 1

Doing Business AsM Dental Studio

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.

Chiropractor
13882 NEWPORT AVE STE B
TUSTIN, CA 92780
Dentist (General Practice)
13882 NEWPORT AVE STE B
TUSTIN, CA 92780

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 Matt T Phan Dmd PC's NPI number?

The NPI number for Matt T Phan Dmd PC is 1366109357. It was assigned to this organization in the NPPES registry on November 24, 2021. The provider is doing business as M Dental Studio.

Where is Matt T Phan Dmd PC located?

Matt T Phan Dmd PC is located at 13882 Newport Ave Ste B, Tustin, CA 92780. The listed phone number is (949) 440-1105.

What is Matt T Phan Dmd PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Matt T Phan Dmd PC was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.