MRS. NGOC LY THI PHAM DDS
NPI 1114024023
Dentist in San Jose, CA

Active since September 20, 2006
648 E SANTA CLARA STREET, SAN JOSE, CA 95112(408) 287-0913(408) 287-9302 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Ngoc Ly Thi Pham Dds NPPES

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

MRS. NGOC LY THI PHAM DDS (NPI 1114024023) is an individual dentist in San Jose, California, licensed in California (B4475501) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1114024023
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMRS. NGOC LY THI PHAMCredential: DDS
Location Address648 E SANTA CLARA STREETSan Jose, CA 95112
Mailing Address648 E Santa Clara StreetSan Jose, CA 95112 · (408) 287-0913 · Fax (408) 287-9302
Fax(408) 287-9302
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1114024023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · B4475501
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.

648 E SANTA CLARA STREET, San Jose, CA 95112

Other Identifiers 1

Medicare ID-Type Unspecified519014CA

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 Ngoc Ly Pham's NPI number?

The NPI number for Ngoc Ly Pham is 1114024023. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Ngoc Ly Pham located?

Ngoc Ly Pham practices at 648 E Santa Clara Street, San Jose, CA 95112. The listed phone number is (408) 287-0913.

What is Ngoc Ly 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 Ngoc Ly Pham was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.