DR. THIEN QUANG PHAM D.D.S.
NPI 1104273085
Dentist in Blaine, MN

Active since May 19, 2016
12904 CENTRAL AVE NE, BLAINE, MN 55434(651) 621-4515 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thien Quang Pham D.d.s. NPPES

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

DR. THIEN QUANG PHAM D.D.S. (NPI 1104273085) is an individual dentist in Blaine, Minnesota, licensed in Minnesota (D13682) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1104273085
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. THIEN QUANG PHAMCredential: D.D.S.
Location Address12904 CENTRAL AVE NEBlaine, MN 55434-4147
Mailing Address12904 Central Ave NeBlaine, MN 55434-4147 · (651) 621-4515
Sole ProprietorNo
Enumeration DateMay 19, 2016
NPI 1104273085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MN · D13682
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.
12904 CENTRAL AVE NE, Blaine, MN 55434

Accepted Insurance

Other Providers at the Same Location NPPES 11

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

Dentist (General Practice)
12904 CENTRAL AVE NE
BLAINE, MN 55434
Dentist (General Practice)
12904 CENTRAL AVE NE
BLAINE, MN 55434
Dentist
12904 CENTRAL AVE NE
BLAINE, MN 55434
Dentist (General Practice)
12904 CENTRAL AVE NE
BLAINE, MN 55434
Dentist (General Practice)
12904 CENTRAL AVE NE
BLAINE, MN 55434
Dentist (General Practice)
12904 CENTRAL AVE NE
MINNEAPOLIS, MN 55434
Dentist (Orthodontics and Dentofacial Orthopedics)
12904 CENTRAL AVE NE
BLAINE, MN 55434
Dentist (General Practice)
12904 CENTRAL AVE NE
BLAINE, MN 55434

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 Thien Pham's NPI number?

The NPI number for Thien Pham is 1104273085. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Where is Thien Pham located?

Thien Pham practices at 12904 Central Ave NE, Blaine, MN 55434. The listed phone number is (651) 621-4515.

What is Thien Pham's specialty?

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

What insurance does Thien Pham accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Thien 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 Thien Pham was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.