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PRO DENTISTA DENTAL GROUP
NPI 1487976759
Dentist - General Practice in Huntington Park, CA

Active since February 26, 2010
2634 CLARENDON AVE, HUNTINGTON PARK, CA 90255(323) 585-2777 Get Directions Write a Review

NPPES record last updated: February 26, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pro Dentista Dental Group NPPES

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

PRO DENTISTA DENTAL GROUP (NPI 1487976759) is a healthcare organization registered as a general practice in Huntington Park, California and active in the NPI registry since February 2010. The organization lists Teresa Hayrapetian, Consultant, as its authorized official.

NPPES Registry Identity

NPI1487976759
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNAM PHAN, DMD, INC
Location Address2634 CLARENDON AVEHuntington Park, CA 90255-4120
Mailing Address2634 Clarendon AveHuntington Park, CA 90255-4120
Phone(323) 585-2777
Organization SubpartNo
Authorized OfficialTeresa HayrapetianConsultant · (818) 262-6114
Enumeration DateFebruary 26, 2010
✔ NPI 1487976759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2634 CLARENDON AVE, Huntington Park, CA 90255
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Other Names 1

Doing Business AsPro Dentista Dental Group

Other Identifiers 1

Medicaid1881924298CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

HAMID IMANKHAN,DDS,INC.
Dentist
2634 CLARENDON AVE
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 585-2777

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 Nam Phan, Dmd, Inc's NPI number?

The NPI number for Nam Phan, Dmd, Inc is 1487976759. It was assigned to this organization in the NPPES registry on February 26, 2010. The provider is doing business as Pro Dentista Dental Group.

Where is Nam Phan, Dmd, Inc located?

Nam Phan, Dmd, Inc is located at 2634 Clarendon Ave, Huntington Park, CA 90255. The listed phone number is (323) 585-2777.

What is Nam Phan, Dmd, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Nam Phan, Dmd, Inc was last updated on February 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.