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Dr. Linh Phan , DDS

Dentist - General Practice β€’ Woodbridge, VA

Active NPI 1710415716 Individual Practitioner Female Practitioner
Practice location in NPPES

12602 Lake Ridge Dr
Woodbridge, VA 22192

Call 7034905050 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

12602 Lake Ridge Dr

Woodbridge, VA 22192

Telephone 7034905050
Organization at the Same NPPES Address or Phone
Gina C Pham Dds Pc Facility NPI 1801029590

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Springfield, MO. 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)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2017

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 Woodbridge and Virginia

66 active clinicians are listed under Dentist - General Practice with a practice address in Woodbridge, VA (3,366 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Woodbridge

0% of these 66 clinicians have the CMS telehealth indicator.

0% of these 66 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES VA 0401416238

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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: Virginia Department of Health Professions.
Look Up on State Board Site

Secondary Practice Locations

440 E Tampa St

Springfield, MO 658061131

Phone: 4178310150

440 E Tampa St

Springfield, MO 658061131

Phone: 4178310150

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location July 27, 2018

Registered at 12602 LAKE RIDGE DR, WOODBRIDGE, VA 22192 (Tel: 7034905050)

πŸ“
Updated Business Mailing Address July 27, 2018

Registered at 1501 CRYSTAL DR APT 323, ARLINGTON, VA 222024103 (Tel: 7209878321)

βœ…
NPI Profile Active June 02, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 02, 2017

Registered at 440 E TAMPA ST, SPRINGFIELD, MO 658061131 (Tel: 4178310150)

πŸ“
Business Mailing Address (Initial Record) June 02, 2017

Registered at 1600 S JOYCE ST APT 209, ARLINGTON, VA 222025104 (Tel: 7209878321)

πŸ‘€
Provider Name / Credentials (Initial Record) June 02, 2017

Recorded as LINH PHAN, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2017

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 02, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710415716
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2017
Last Update: July 27, 2018
Sole Proprietor: Yes

Other Dentist - General Practices in Woodbridge

All Dentist - General Practices in Woodbridge

Mailing Address

1501 Crystal Dr Apt 323

Arlington, VA 222024103

Phone: 7209878321

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.