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

Dr. Phong Kim Phane, DMD

Individual provider Dentist · NPI 1124450283

Dr. Phong Kim Phane, DMD is a Dentist in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013
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

3388 49th St N
St Petersburg, FL 33710-2146
Phone: (727) 323-0377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN20248 (FL)
Dentist Taxonomy 122300000X · Licence DRP1233 (FL)

Record details

NPI number1124450283
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 31, 2013
Last updated in NPPESOctober 20, 2014

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