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DR. KEVIN PHAN DDS
NPI 1740012202
Dentist in Suwanee, GA

Active since August 14, 2024
2855 LAWRENCEVILLE SUWANEE RD STE 360, SUWANEE, GA 30024(678) 482-2197 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2024, Aug 14, 2024 (2 updates tracked since 2024).

About Dr. Kevin Phan Dds NPPES

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

DR. KEVIN PHAN DDS (NPI 1740012202) is an individual dentist in Suwanee, Georgia, licensed in Georgia (DN123575) and active in the NPI registry since August 2024. He maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1740012202
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KEVIN PHANCredential: DDS
Location Address2855 LAWRENCEVILLE SUWANEE RD STE 360Suwanee, GA 30024-3596
Mailing Address410 Tambec Trce NwLilburn, GA 30047-2860 · (404) 663-3146
Phone(678) 482-2197
Sole ProprietorNo
Enumeration DateAugust 14, 2024
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1740012202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · DN123575
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.
2855 LAWRENCEVILLE SUWANEE RD STE 360, Suwanee, GA 30024
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Secondary Practice Location 1

Location 13330 Piedmont Rd NE Ste 13Atlanta, GA 30305-1726 · Phone (404) 237-5330

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. DALLAS HASSON DMD
Dentist
2855 LAWRENCEVILLE SUWANEE RD STE 360
SUWANEE, GA 30024
Gwinnett County (678) 482-2197

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 Kevin Phan's NPI number?

The NPI number for Kevin Phan is 1740012202. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Kevin Phan located?

Kevin Phan practices at 2855 Lawrenceville Suwanee Rd Ste 360, Suwanee, GA 30024. The listed phone number is (678) 482-2197.

What is Kevin Phan's specialty?

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

What insurance does Kevin Phan accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 10 other insurers list Kevin 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 Kevin Phan was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.