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Provider record

Cuong Tien Phan

The public CMS NPPES listing for Cuong Tien Phan places this Dentist record in Orlando, FL. The practice address is shown as 7824 Lake Underhill Rd, Orlando, FL. NPPES also reports a phone number. Verify details before visiting or calling.

NPI1720091705
Entity typeIndividual
Reported phone(407) 282-7498
SourceCMS NPPES

National Plan and Provider Enumeration System

Source checkedJune 3, 2026

Data pulled and checked

NPPES statusActive

Reported to NPPES

Directory statusIndependent

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We show source-reported CMS NPPES fields.

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NPI and status

Source-labeled identifiers and reported record state.

Active
NPI
1720091705
Entity type
Individual
NPPES status
Reported active
License status
Not primary-source verified

Practice location

Practice address and phone as reported in CMS NPPES.

Address
7824 Lake Underhill Rd, Suite G
Orlando, FL 32822-8201
Phone
(407) 282-7498

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Approximate straight-line distance from this practice location.

Taxonomy and source

Specialty taxonomy is source-reported and not a quality or license determination.

Taxonomy code
122300000X
Specialty
Dentist
Source
CMS NPPES
Last updated
May 26, 2026