Matt T Phan Dmd PC
Matt T Phan Dmd PC is a healthcare organization registered as Dental Clinic/Center in Tustin, CA, holding Type 2 (organization) NPI 1366109357 since 2021. The authorized official on file is Matt Phan, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366109357 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Matt T Phan Dmd PC |
| Practice address | 13882 NEWPORT AVE STE B, Tustin, CA, 92780 |
| Phone | 9494401105 |
| Fax | 9494401107 |
| Enumeration date | 2021-11-24 |
| Last updated in NPPES | 2021-11-24 |
Authorized official
| Name | Matt Phan |
|---|---|
| Title | Owner |
| Phone | 9494401105 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Matt T Phan Dmd PC NPI: 1366109357 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 13882 NEWPORT AVE STE B, Tustin, CA, 92780
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1710072632 | Gregory Salem | Individual | Chiropractor | Tustin, CA |
| 1881864262 | Matt Phan | Individual | General Practice Dentistry | Tustin, CA |
Verify this record
Cross-check NPI 1366109357 against the authoritative CMS record: view Matt T Phan Dmd PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Matt T Phan Dmd PC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-11-24.