Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cody Clinton Phen, DMD

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1063100691

Cody Clinton Phen, DMD is an Orthodontics and Dentofacial Orthopedics Dentistry in Wilmington, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

126 Cinema Dr
Wilmington, NC 28403-1490
Phone: (910) 940-0259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 13237 (NC)

Record details

NPI number1063100691
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 1, 2023
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

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