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

Cuong Tien Phan

Individual provider Dentist · NPI 1720091705

Cuong Tien Phan is a Dentist in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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Practice location Address checks out

7824 Lake Underhill Rd Ste G
Orlando, FL 32822-8201
Phone: (407) 282-7498
Fax: (407) 658-2379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN15320 (FL)

Record details

NPI number1720091705
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 14, 2006
Last updated in NPPESJuly 8, 2007
Mailing address7824 Lake Underhill Rd, Suite G, Orlando, FL 32822-8201

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