IndividualActive
Kevin Phan, DDS
NPI 1740012202 · Dentist · Suwanee, GA
Kevin Phan, DDS is a Dentist provider in Suwanee, GA (NPI 1740012202).
Provider details
- NPI number
- 1740012202
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DN123575 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
2855 Lawrenceville Suwanee Rd Ste 360
Suwanee, GA 30024-3596
Phone: (678) 482-2197
Street-level locationGet directions
Mailing address
410 Tambec Trce Nw
Lilburn, GA 30047-2860
Additional practice locations (1)
- 3330 Piedmont Rd Ne Ste 13Atlanta, GA 30305-1726Phone: (404) 237-5330
Registry dates
- Enumerated
- 2024-08-14
- Last updated
- 2024-11-13
- Certified
- 2024-11-13
Frequently asked questions
- What is Kevin Phan's NPI number?
- Kevin Phan's National Provider Identifier (NPI) is 1740012202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Phan's specialty?
- Kevin Phan is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Kevin Phan located?
- Kevin Phan's practice location on file with NPPES is 2855 Lawrenceville Suwanee Rd Ste 360, Suwanee, GA 30024-3596.
- What is Kevin Phan's phone number?
- The practice phone number listed in the NPPES registry for Kevin Phan is (678) 482-2197.
- Is Kevin Phan's NPI active?
- Yes — Kevin Phan's NPI (1740012202) is active in the NPPES registry as of the last update on 2024-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.