Provider Demographics
NPI:1124308101
Name:PHAN-RINNE, MYHANH THI (DDS)
Entity type:Individual
Prefix:
First Name:MYHANH
Middle Name:THI
Last Name:PHAN-RINNE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40TH & HOLDREGE, #2037
Mailing Address - Street 2:UNMC-COLLEGE OF DENTISTRY
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68583-0740
Mailing Address - Country:US
Mailing Address - Phone:402-472-8900
Mailing Address - Fax:402-472-0048
Practice Address - Street 1:40TH & HOLDREGE #2037
Practice Address - Street 2:UNMC COD UNIVERSITY DENTAL ASSOCIATES
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68583
Practice Address - Country:US
Practice Address - Phone:402-472-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE56721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice