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DERRICK ANH VO PHAM DENTAL STUDENT
NPI 1023632676
Dentist in Oceanside, CA

Active since May 29, 2020
92055 14TH STREET, OCEANSIDE, CA 92058(760) 725-5870 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2021, May 29, 2020 (2 updates tracked since 2020).

About Derrick Anh Vo Pham Dental Student NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK ANH VO PHAM DENTAL STUDENT (NPI 1023632676) is an individual dentist in Oceanside, California, licensed in California (106380) and active in the NPI registry since May 2020. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023632676
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDERRICK ANH VO PHAMCredential: DENTAL STUDENT
Location Address92055 14TH STREETOceanside, CA 92058
Mailing Address4270 Kirkcaldy DrSan Diego, CA 92111-3621 · (858) 999-1299
Phone(760) 725-5870
Sole ProprietorNo
Enumeration DateMay 29, 2020
Last NPPES UpdateAugust 30, 20212 updates tracked since enumeration
NPPES CertifiedAugust 11, 2021
✔ NPI 1023632676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 106380
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
92055 14TH STREET, Oceanside, CA 92058
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Secondary Practice Locations 2

Location 1714 Tiverton AveLos Angeles, CA 90095-8361 · Phone (310) 825-9789
Location 2Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight LaneJacksonville, FL 32212-0140 · Phone (760) 725-3213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Pham's NPI number?

The NPI number for Derrick Pham is 1023632676. It was assigned to this individual provider in the NPPES registry on May 29, 2020.

Where is Derrick Pham located?

Derrick Pham practices at 92055 14th Street, Oceanside, CA 92058. The listed phone number is (760) 725-5870.

What is Derrick Pham's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Derrick Pham was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.