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NPI 1134616675

IndividualActive

Belinda Phan, DMD

NPI 1134616675 · Pediatric Dentistry · Cumming, GA

Provider details

NPI number: 1134616675
Entity type: Individual
Primary specialty: Pediatric DentistryDental Providers
Credential: DMD
Sex: Female
Sole proprietor: Yes
License: DN122216 (GA)

Practice location

5520 Castleberry Rd # 200

Cumming, GA 30040-8054

Phone: (770) 203-0100

Fax: (770) 203-0101

More GA providers

Mailing address

5520 Castleberry Rd # 200

Cumming, GA 30040-8054

Registry dates

Enumerated: 2018-04-19
Last updated: 2024-11-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Belinda Phan, DMD — NPI 1134616675, Cumming, GA | NPI Central