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Dr. Kevin Phan , DDS

Dentist β€’ Suwanee, GA

Active NPI 1740012202 Individual Practitioner Male Practitioner
Practice location in NPPES

2855 Lawrenceville Suwanee Rd Ste 360
Suwanee, GA 300243596

Call 6784822197 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2855 Lawrenceville Suwanee Rd Ste 360

Suwanee, GA 300243596

Telephone 6784822197
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Atlanta, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $21.38 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Suwanee and Georgia

29 active clinicians are listed under Dentist with a practice address in Suwanee, GA (2,056 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Suwanee

0% of these 29 clinicians have the CMS telehealth indicator.

0% of these 29 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $21.38.

Manufacturer Payment Nature Product Type Amount ($)
OraPharma, a division of Bausch Health US, LLC
Food and Beverage
In-kind items and services
ARESTIN General $21.38

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-13
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES GA DN123575

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Secondary Practice Locations

3330 Piedmont Rd Ne Ste 13

Atlanta, GA 303051726

Phone: 4042375330

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location November 13, 2024

Registered at 2855 LAWRENCEVILLE SUWANEE RD STE 360, SUWANEE, GA 300243596 (Tel: 6784822197)

βœ…
NPI Profile Active August 14, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 14, 2024

Registered at 3330 PIEDMONT RD NE STE 13, ATLANTA, GA 303051726 (Tel: 4042375330)

πŸ“
Business Mailing Address (Initial Record) August 14, 2024

Registered at 410 TAMBEC TRCE NW, LILBURN, GA 300472860 (Tel: 4046633146)

πŸ‘€
Provider Name / Credentials (Initial Record) August 14, 2024

Recorded as KEVIN PHAN, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2024

Dentist (license number reported to NPPES: GA DN123575)

🟒
Initial NPI Registration & Enumeration August 14, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740012202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2024
Last Update: November 13, 2024
Sole Proprietor: No

Other Dentists in Suwanee

All Dentists in Suwanee

Mailing Address

410 Tambec Trce Nw

Lilburn, GA 300472860

Phone: 4046633146

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.