Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Andrew Kyanh Phan, DMD

Individual provider General Practice Dentistry · NPI 1467604454

Dr. Andrew Kyanh Phan, DMD is a General Practice Dentistry in Portland, Oregon. Practices as a sole proprietor. Licensed in California and Oregon.

Licensed in
CA, OR
In the registry since
2008
Specialties on file
2
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

6919 SE 82nd Ave Ste 103 Tlc Dentistry
Portland, OR 97266-5873
Phone: (503) 774-3546
Fax: (503) 774-3547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D6465 (OR)
General Practice Dentistry Taxonomy 1223G0001X · Licence 38733 (CA)

Record details

NPI number1467604454
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 21, 2008
Last updated in NPPESJune 15, 2012

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