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OC TOOTH FAIRY DENTAL
NPI 1861558207
Dentist - General Practice in Garden Grove, CA

Active since December 29, 2006
12042 BROOKHURST ST, GARDEN GROVE, CA 92840(714) 539-9500 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Oc Tooth Fairy Dental NPPES

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

OC TOOTH FAIRY DENTAL (NPI 1861558207) is a healthcare organization registered as a general practice in Garden Grove, California and active in the NPI registry since December 2006. The organization lists Mindy T Phan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861558207
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDAWNA PHAN & MINDY PHAN A PROFESSIONAL DENTAL CORP.
Location Address12042 BROOKHURST STGarden Grove, CA 92840-2815
Mailing Address12042 Brookhurst StGarden Grove, CA 92840-2815
Phone(714) 539-9500
Organization SubpartNo
Authorized OfficialMindy T PhanCeo · (714) 539-9500
Enumeration DateDecember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1861558207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · D49392
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.

12042 BROOKHURST ST, Garden Grove, CA 92840
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Other Names 1

Doing Business AsOc Tooth Fairy Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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.

MINDY TRIEU PHAN D.M.D
Dentist (General Practice)
12042 BROOKHURST ST
GARDEN GROVE, CA 92840
Orange County (714) 539-9500

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 Dawna Phan & Mindy Phan A Professional Dental Corp.'s NPI number?

The NPI number for Dawna Phan & Mindy Phan A Professional Dental Corp. is 1861558207. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is doing business as Oc Tooth Fairy Dental.

Where is Dawna Phan & Mindy Phan A Professional Dental Corp. located?

Dawna Phan & Mindy Phan A Professional Dental Corp. is located at 12042 Brookhurst St, Garden Grove, CA 92840. The listed phone number is (714) 539-9500.

What is Dawna Phan & Mindy Phan A Professional Dental Corp.'s specialty?

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

What insurance does Dawna Phan & Mindy Phan A Professional Dental Corp. accept?

Health plans from UnitedHealthcare list Dawna Phan & Mindy Phan A Professional Dental Corp. 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 Dawna Phan & Mindy Phan A Professional Dental Corp. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.