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

Thi Binh Phan

Individual provider General Practice Dentistry · NPI 1114050200

Thi Binh Phan is a General Practice Dentistry in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

1540 Fern St
San Diego, CA 92102-1521
Phone: (619) 236-9549
Fax: (619) 234-0311
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 40484 (CA)

Record details

NPI number1114050200
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 14, 2007
Last updated in NPPESJuly 8, 2007

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