MARY R. PHAM, D.D.S., INC.
NPI 1164986220
Dentist - Pediatric Dentistry in Costa Mesa, CA

Q: What is Mary R. Pham, D.D.S., Inc.'s NPI number?

The NPI number for Mary R. Pham, D.D.S., Inc. is 1164986220. It was assigned to this organization in the NPPES registry on January 23, 2019. The provider is doing business as Lollipop Pediatric Dentistry.

Q: What is Mary R. Pham, D.D.S., Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since January 23, 2019

2750 HARBOR BLVD # B-06, COSTA MESA, CA 92626(334) 657-7668 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mary R. Pham, D.d.s., Inc. NPPES

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

MARY R. PHAM, D.D.S., INC. (NPI 1164986220), doing business as Lollipop Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Costa Mesa, California and active in the NPI registry since January 2019. The organization lists Paul Pham, Manager, as its authorized official.

NPPES Registry Identity

NPI1164986220

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameMARY R. PHAM, D.D.S., INC.

Location Address2750 HARBOR BLVD # B-06Costa Mesa, CA 92626-5121

Mailing Address2750 Harbor Blvd # B-06Costa Mesa, CA 92626-5121 · (334) 657-7668

Phone(334) 657-7668

Organization SubpartNo

Authorized OfficialPaul PhamManager · (334) 657-7668

Enumeration DateJanuary 23, 2019

✔ NPI 1164986220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

2750 HARBOR BLVD # B-06, Costa Mesa, CA 92626

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Other Names 1

Doing Business AsLollipop Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Mary R. Pham, D.D.S., Inc.'s NPI number?

The NPI number for Mary R. Pham, D.D.S., Inc. is 1164986220. It was assigned to this organization in the NPPES registry on January 23, 2019. The provider is doing business as Lollipop Pediatric Dentistry.

Where is Mary R. Pham, D.D.S., Inc. located?

Mary R. Pham, D.D.S., Inc. is located at 2750 Harbor Blvd # B-06, Costa Mesa, CA 92626. The listed phone number is (334) 657-7668.

What is Mary R. Pham, D.D.S., Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Mary R. Pham, D.D.S., Inc. was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.