Nam M Phan Dmd PC is a General Practice Dentistry (organization) practicing in Upland, California. The National Provider Identifier (NPI) is #1992670103, which was assigned on October 7, 2025, and the registration record was last updated on October 7, 2025. The practitioner's main practice location is at 1227 W Foothill Blvd, Upland, CA 91786-3681; the contact telephone number is 9096080700, and the fax number is 9096080704. The primary taxonomy of Nam M Phan Dmd PC is General Practice Dentistry (1223G0001X), with specialization in General Practice. The authorized official for Nam M Phan Dmd PC is Nam M Phan (President).
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.
| NPI | 1992670103 |
| Entity Type | Organization |
| Organization Name | NAM M PHAN DMD PC |
| Provider Name | NAM M PHAN DMD PC |
| Practice Address |
1227 W Foothill Blvd Upland CA 91786-3681 |
| Practice Telephone | 9096080700 |
| Practice Fax Number | 9096080704 |
| Mailing Address |
1227 W Foothill Blvd Upland CA 91786-3681 |
| Mailing Telephone | 9096080700 |
| Mailing Fax Number | 9096080704 |
| Certification Date | 2025-10-07 |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |
| Is Organization Subpart | N |
| Official Name | NAM M PHAN |
| Official Title | PRESIDENT |
| Credential | DMD |
| Telephone | 9096080700 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 1223G0001X | Dentist | General Practice | 193400000X SINGLE SPECIALTY GROUP |
| Other Organization Name | Type |
|---|---|
| Zenith Smiles | Doing Business As Name |
| Address | Telephone | Fax |
|---|---|---|
| 104 W 7th St Unit 2, Los Angeles, CA 900141906 | 2136882888 | 2136882854 |
| 1101 Bryan Ave Ste D, Tustin, CA 927804401 | 7148380790 | 7148385315 |
| Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| Classification | Dentist |
| Specialization | General Practice |
| Grouping | Dental Providers |
| 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. |
| Notes: Source: Academy of General Dentistry |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Austin Harbison Dds PLLC | 4505 Fair Meadows Ln, Raleigh, NC 27607-6465 | General Practice Dentistry | 2026-05-08 |
| Friendship Dental LLC | 211 E Butler Rd Ste B3, Mauldin, SC 29662-2170 | General Practice Dentistry | 2026-05-08 |
| Adam Jazaerly | 3550 Briarfield Blvd Ste 100, Maumee, OH 43537-9184 | General Practice Dentistry | 2026-05-08 |
| Smile Aesthetics Dental Pa | 3215 Hendricks Ave Ste 1, Jacksonville, FL 32207-4280 | General Practice Dentistry | 2026-05-08 |
| Ehsani Cabrillo Dental Inc | 7695 Cardinal Ct Ste 300, San Diego, CA 92123-3357 | General Practice Dentistry | 2026-05-08 |
| Smile Solutions LLC | 109 N Meridian Ste A, Puyallup, WA 98371-8631 | General Practice Dentistry | 2026-05-08 |
| Carlos Rodriguez Dmd PLLC | 2321 Battleground Ave, Greensboro, NC 27408-5422 | General Practice Dentistry | 2026-05-08 |
| Sue Pride Quan | 327 Township Line Rd, Elkins Park, PA 19027-2222 | General Practice Dentistry | 2026-05-09 |
| Absolute Dental Care / Mw Dental | 7512 Iron Bar Ln, Gainesville, VA 20155-2999 | General Practice Dentistry | 2026-05-07 |
| Caleb Borland | 1329 Schwaller Ave, Hays, KS 67601-2241 | General Practice Dentistry | 2026-05-08 |
| Find all providers with the same taxonomy | |||
| Street Address |
1227 W FOOTHILL BLVD |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-3681 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Calicdan-Sta.Ana Dds Corp | 1227 W Foothill Blvd, Upland, CA 91786-3681 | General Practice Dentistry | 2007-05-15 |
| Carol S Calicdan | 1227 W Foothill Blvd, Upland, CA 91786-3681 | Dentist | 2007-05-15 |
| G & M Dental Corporation | 1227 W Foothill Blvd, Upland, CA 91786-3681 | Dentist | 2021-12-20 |
| Sheri Jones | 1227 W Foothill Blvd, Upland, CA 91786-3681 | General Practice Dentistry | 2019-07-19 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Ji Young Kim | 1241 W Foothill Blvd, Upland, CA 91786-3681 | Pharmacist | 2012-01-11 |
| Rajnish Hansrajbhai Ghadia | 1241 W Foothill Blvd, Upland, CA 91786-3681 | Pharmacist | 2015-08-28 |
| Deryk Mason II | 1241 W Foothill Blvd, Upland, CA 91786-3681 | Licensed Vocational Nurse | 2023-06-05 |
| Gaurang Patel | 1241 W Foothill Blvd, Upland, CA 91786-3681 | Pharmacist | 2011-11-15 |
| Daniel K Lee | 1241 W Foothill Blvd, Upland, CA 91786-3681 | Pharmacist | 2014-10-23 |
| Walgreen Co | 1241 W Foothill Blvd, Upland, CA 91786-3681 | Durable Medical Equipment & Medical Supplies | 2006-07-29 |
| Ann Marie C Acosta | 1241 W Foothill Blvd, Upland, CA 91786-3681 | Licensed Vocational Nurse | 2023-04-18 |
| National Vision, Inc. | 1261 W Foothill Blvd, Unit B, Upland, CA 91786-3681 | Eyewear Supplier | 2006-05-24 |
| Kyle David Schnetzler | 1241 W Foothill Blvd, Upland, CA 91786-3681 | Pharmacist | 2017-09-21 |
| Azar Shams | 1241 W Foothill Blvd, Upland, CA 91786-3681 | Pharmacist | 2011-10-28 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Karin Janett Dolorier | 435 W 9th Street Upland, Upland, CA 91786 | Behavior Technician | 2023-03-16 |
| Lakesha S. Lane | 1750 W. Arrow Route #208, Upland, CA 91786 | Doula | 2024-11-26 |
| Barsoum Dental | 258 E. 9th Street, Upland, CA 91786 | Endodontist | 2018-10-31 |
| Right Ride | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | Driver | 2018-11-09 |
| Sadeg Aldolaim | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | Primary Care Nurse Practitioner | 2018-07-06 |
| Rebecca Cervantez | 1260 E. Arrow Hwy, Building E, Upland, CA 91786 | Addiction (Substance Use Disorder) Counselor | 2024-05-23 |
| Alexis Danielle Anderson | 1311 Springfield Street, Apt. 106, Upland, CA 91786 | College Health Registered Nurse | 2024-01-12 |
| Gino Antonio Reynoso | 440 North Mountain Ave., Ste. 309, Upland, CA 91786 | Periodontist | 2024-06-14 |
| Sarah Natalya Hsieh | 600 N Mountain Ave A201, Upland, CA 91786 | Speech-Language Pathologist | 2023-06-27 |
| Dental Office De La Osa Dds Inc | 929 W Foothill Blvd, Upkand, CA 91786 | Dentist | 2025-05-08 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Valerie Phan · Shasta Phan | 3261 Dutton Ave, Santa Rosa, CA 95407-7891 | Social Worker | 2026-05-04 |
| Brian Phan | 1211 Maricopa Hwy Ste 101, Ojai, CA 93023-3165 | Optometrist | 2026-02-09 |
| Angel Phan | 263 Farmington Ave # Lg065, Farmington, CT 06030-1930 | Student in an Organized Health Care Education/Training Program | 2026-04-01 |
| Anh Phan Dmd PC | 6458 Tupelo Dr Ste A, Citrus Heights, CA 95621-1704 | General Practice Dentistry | 2026-05-04 |
| Irene Phan | 2033 Gateway Pl Ste 614, San Jose, CA 95110-3709 | Behavior Technician | 2026-02-10 |
| Mikey Phan | 12459 Lewis St Ste 201, Garden Grove, CA 92840-6606 | Behavior Technician | 2026-04-06 |
| Callie Tu Phan | 4361 Berkeley St, Montclair, CA 91763-2617 | Behavior Technician | 2026-03-28 |
| Cong-Bao Phan | 1441 N Beckley Ave, Dallas, TX 75203-1201 | Student in an Organized Health Care Education/Training Program | 2026-04-02 |
| Brandy Phan | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | Student in an Organized Health Care Education/Training Program | 2026-04-04 |
| Ann Phan | 301 Prospect Ave, Syracuse, NY 13203-1899 | Student in an Organized Health Care Education/Training Program | 2026-04-13 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |