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

Dr. Matthew John Phan, DDS

Individual provider Dentist · NPI 1164944146

Dr. Matthew John Phan, DDS is a Dentist in Roselle, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
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

21 W Irving Park Rd
Roselle, IL 60172-1117
Phone: (805) 813-9567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.032245 (IL)

Record details

NPI number1164944146
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 12, 2017
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024
Mailing address21 W Irving Park Rd, Roselle, IL 60172-1117

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