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DR. JESSICA T PHAN DDS
NPI 1811634074
Dentist in Clinton Township, MI

Active since May 18, 2022PECOS Enrolled
44200 GARFIELD RD STE 100, CLINTON TOWNSHIP, MI 48038(586) 263-0770 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2023, May 18, 2022 (2 updates tracked since 2022).

About Dr. Jessica T Phan Dds NPPES

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

DR. JESSICA T PHAN DDS (NPI 1811634074) is an individual dentist in Clinton Township, Michigan, licensed in Michigan (2901601714) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811634074
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JESSICA T PHANCredential: DDS
Location Address44200 GARFIELD RD STE 100Clinton Township, MI 48038-1142
Mailing Address44200 Garfield Rd Ste 100Clinton Township, MI 48038-1142 · (586) 263-0770
Phone(586) 263-0770
Sole ProprietorYes
Enumeration DateMay 18, 2022
Last NPPES UpdateJune 6, 20232 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
✔ NPI 1811634074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901601714
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.
44200 GARFIELD RD STE 100, Clinton Township, MI 48038
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica T Phan Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SHAWN ELAINE RODGERS SMOLOWSKY D.D.S.
Dentist (General Practice)
44200 GARFIELD RD STE 100
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-0770
MARK D. BERMAN, D.D.S.
Dentist (General Practice)
44200 GARFIELD RD STE 100
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-0770

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 Jessica Phan's NPI number?

The NPI number for Jessica Phan is 1811634074. It was assigned to this individual provider in the NPPES registry on May 18, 2022.

Where is Jessica Phan located?

Jessica Phan practices at 44200 Garfield Rd Ste 100, Clinton Township, MI 48038. The listed phone number is (586) 263-0770.

What is Jessica Phan's specialty?

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

Is Jessica Phan enrolled in Medicare?

Yes. Jessica Phan is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Phan accept?

Health plans from Delta Dental of Michigan list Jessica 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 Jessica Phan was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.