STACY MAI PHAM DDS
NPI 1063420255
Dentist in Riverside, CA

Active since August 03, 2006
4000 TYLER ST, RIVERSIDE, CA 92503(951) 687-4155(951) 687-7448 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stacy Mai Pham Dds NPPES

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

STACY MAI PHAM DDS (NPI 1063420255) is an individual dentist in Riverside, California, licensed in California (39461) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1063420255
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSTACY MAI PHAMCredential: DDS
Location Address4000 TYLER STRiverside, CA 92503
Mailing Address4000 Tyler StRiverside, CA 92503 · (951) 687-4155 · Fax (951) 687-7448
Fax(951) 687-7448
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateJanuary 27, 2020
NPI 1063420255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 39461
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.

4000 TYLER ST, Riverside, CA 92503

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Optometrist
4000 TYLER ST
RIVERSIDE, CA 92503
Clinic/Center (Dental)
4000 TYLER ST
RIVERSIDE, CA 92503
Optometrist
4000 TYLER ST
RIVERSIDE, CA 92503
Optometrist
4000 TYLER ST
RIVERSIDE, CA 92503
Optometrist
4000 TYLER ST
RIVERSIDE, CA 92503

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 Stacy Pham's NPI number?

The NPI number for Stacy Pham is 1063420255. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Stacy Pham located?

Stacy Pham practices at 4000 Tyler St, Riverside, CA 92503. The listed phone number is (951) 687-4155.

What is Stacy Pham's specialty?

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

What insurance does Stacy Pham accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Stacy Pham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacy Pham was last updated on January 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.