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HUY PHAM DDS
NPI 1063005726
Dentist - Periodontics in San Jose, CA

Active since February 13, 2021
5150 GRAVES AVE STE 12E, SAN JOSE, CA 95129(408) 253-4150(408) 253-1979 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2022, Feb 13, 2021 (2 updates tracked since 2021).

About Huy Pham Dds NPPES

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

HUY PHAM DDS (NPI 1063005726) is an individual periodontics provider in San Jose, California, licensed in California (D107077) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1063005726
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameHUY PHAMCredential: DDS
Location Address5150 GRAVES AVE STE 12ESan Jose, CA 95129-5015
Mailing Address5150 Graves Ave Ste 12eSan Jose, CA 95129-5015 · (408) 253-4150
Phone(408) 253-4150
Fax(408) 253-1979
Sole ProprietorYes
Enumeration DateFebruary 13, 2021
Last NPPES UpdateNovember 14, 20222 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
✔ NPI 1063005726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · D107077
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
5150 GRAVES AVE STE 12E, San Jose, CA 95129
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEITH M COOPER DDS INC
Dentist (Prosthodontics)
5150 GRAVES AVE STE 12E
SAN JOSE, CA 95129
Santa Clara County (408) 253-4150
HUY PHAM DENTAL CORP.
Dentist (Periodontics)
5150 GRAVES AVE STE 12E
SAN JOSE, CA 95129
Santa Clara County (408) 253-4150

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 Huy Pham's NPI number?

The NPI number for Huy Pham is 1063005726. It was assigned to this individual provider in the NPPES registry on February 13, 2021.

Where is Huy Pham located?

Huy Pham practices at 5150 Graves Ave Ste 12E, San Jose, CA 95129. The listed phone number is (408) 253-4150.

What is Huy Pham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Huy Pham was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.