Tam Timothy Phanle, DMD
NPI 1558053504 · General Practice Dentistry · Las Vegas, NV
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tam Timothy Phanle, DMD is a General Practice Dentistry provider in Las Vegas, NV (NPI 1558053504).
Provider details
- NPI number
- 1558053504
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-25
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Frequently asked questions
- What is Tam Timothy Phanle's NPI number?
- Tam Timothy Phanle's National Provider Identifier (NPI) is 1558053504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tam Timothy Phanle's specialty?
- Tam Timothy Phanle is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Tam Timothy Phanle located?
- Tam Timothy Phanle's practice location on file with NPPES is 9285 S Cimarron Rd, Las Vegas, NV 89178-2550.
- What is Tam Timothy Phanle's phone number?
- The practice phone number listed in the NPPES registry for Tam Timothy Phanle is (702) 433-5355.
- Does Tam Timothy Phanle accept Medicare?
- Tam Timothy Phanle is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tam Timothy Phanle's NPI active?
- Yes — Tam Timothy Phanle's NPI (1558053504) is active in the NPPES registry as of the last update on 2024-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.