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DR. ANDREW KYANH PHAN D.M.D.
NPI 1467604454
Dentist - General Practice in Portland, OR

Active since October 21, 2008
6919 SE 82ND AVE STE 103, TLC DENTISTRY, PORTLAND, OR 97266(503) 774-3546(503) 774-3547 Get Directions Write a Review

NPPES record last updated: June 15, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Andrew Kyanh Phan D.m.d. NPPES

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

DR. ANDREW KYANH PHAN D.M.D. (NPI 1467604454) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D6465) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1467604454
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANDREW KYANH PHANCredential: D.M.D.
Location Address6919 SE 82ND AVE STE 103, TLC DENTISTRYPortland, OR 97266-5873
Mailing Address6919 Se 82nd Ave Ste 103, Tlc DentistryPortland, OR 97266-5873 · (503) 774-3546 · Fax (503) 774-3547
Phone(503) 774-3546
Fax(503) 774-3547
Sole ProprietorYes
Enumeration DateOctober 21, 2008
Last NPPES UpdateJune 15, 2012
✔ NPI 1467604454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in OR · D6465✔ Licensed in CA · 38733
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6919 SE 82ND AVE STE 103, Portland, OR 97266
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Andrew Phan's NPI number?

The NPI number for Andrew Phan is 1467604454. It was assigned to this individual provider in the NPPES registry on October 21, 2008.

Where is Andrew Phan located?

Andrew Phan practices at 6919 SE 82nd Ave Ste 103 Tlc Dentistry, Portland, OR 97266. The listed phone number is (503) 774-3546.

What is Andrew Phan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Andrew Phan accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 8 other insurers list Andrew 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 Andrew Phan was last updated on June 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.