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

Phong Ly, DDS

Individual provider Dentist · NPI 1790131761

Phong Ly, DDS is a Dentist in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
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.

See every abbreviation used in this directory →

Practice location Address checks out

9920 Foley Blvd NW Ste 110
Coon Rapids, MN 55433-5216
Phone: (763) 377-2110
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D13699 (MN)

Record details

NPI number1790131761
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 10, 2016
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address9920 Foley Blvd Nw Ste 110, Coon Rapids, MN 55433-5216

Other providers in Coon Rapids