Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. H. Derick Phan, DDS, CAGS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1609075910

Dr. H. Derick Phan, DDS, CAGS is an Orthodontics and Dentofacial Orthopedics Dentistry in San Ramon, California. Practices as a sole proprietor. Licensed in Arizona and California.

Licensed in
AZ, CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

11040 Bollinger Canyon Rd Ste K
San Ramon, CA 94582-4959
Phone: (925) 648-8588
Fax: (925) 648-8008
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Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 49186 (CA)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence D6446 (AZ)

Record details

NPI number1609075910
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , CAGS
Sole proprietorYes
NPI enumeratedJuly 16, 2007
Last updated in NPPESJuly 29, 2008
Mailing address11040 Bollinger Canyon Rd, Suite K, San Ramon, CA 94582-4959

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