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

Kendra Phan, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477243319

Kendra Phan, DMD is a Student in an Organized Health Care Education/Training Program in Warrenton, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2023
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

19515 Brune Pkwy
Warrenton, MO 63383-6505
Phone: (844) 853-8937
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 Park Ave, Saint Louis, MO 63104-3024 — (314) 881-8254

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2025018921 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477243319
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 12, 2023
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing address1500 Park Ave, Saint Louis, MO 63104-3024

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