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

Dr. Linh Phan, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710415716

Dr. Linh Phan, DDS is a Student in an Organized Health Care Education/Training Program in Woodbridge, Virginia. Practices as a sole proprietor and works from 3 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2017
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

12602 Lake Ridge Dr
Woodbridge, VA 22192
Phone: (703) 490-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 440 E Tampa St, Springfield, MO 65806-1131 — (417) 831-0150
  • 440 E Tampa St, Springfield, MO 65806-1131 — (417) 831-0150

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0401416238 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710415716
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 2, 2017
Last updated in NPPESJuly 27, 2018
Mailing address1501 Crystal Dr Apt 323, Arlington, VA 22202-4103

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