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ENDODONTIC INNOVATIONS
NPI 1174070361
Dentist - Endodontics in Gibsonton, FL

Active since September 06, 2016
13127 KINGS LAKE DR, SUITE 101, GIBSONTON, FL 33534(813) 284-7958(813) 284-7959 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Endodontic Innovations NPPES

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

ENDODONTIC INNOVATIONS (NPI 1174070361) is a healthcare organization registered as an endodontics in Gibsonton, Florida and active in the NPI registry since September 2016. The organization lists Thai Vu Pham, Director, as its authorized official.

NPPES Registry Identity

NPI1174070361
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameTHAI PHAM DMD PA
Location Address13127 KINGS LAKE DR, SUITE 101Gibsonton, FL 33534-3958
Mailing Address13127 Kings Lake Dr, Suite 101Gibsonton, FL 33534-3958 · (813) 284-7958 · Fax (813) 284-7959
Phone(813) 284-7958
Fax(813) 284-7959
Organization SubpartNo
Authorized OfficialThai Vu PhamDirector · (813) 802-6849
Enumeration DateSeptember 6, 2016
Last NPPES UpdateAugust 26, 2022
NPPES CertifiedAugust 26, 2022
✔ NPI 1174070361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in FL · DN18558
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
13127 KINGS LAKE DR, Gibsonton, FL 33534
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Other Names 1

Doing Business AsEndodontic Innovations

Other Identifiers 1

Medicaid017179500FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

THAI V PHAM DMD
Dentist (Endodontics)
13127 KINGS LAKE DR, SUITE 101
GIBSONTON, FL 33534
Hillsborough County (813) 284-7958

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 Thai Pham Dmd PA's NPI number?

The NPI number for Thai Pham Dmd PA is 1174070361. It was assigned to this organization in the NPPES registry on September 6, 2016. The provider is doing business as Endodontic Innovations.

Where is Thai Pham Dmd PA located?

Thai Pham Dmd PA is located at 13127 Kings Lake Dr Suite 101, Gibsonton, FL 33534. The listed phone number is (813) 284-7958.

What is Thai Pham Dmd PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Thai Pham Dmd PA was last updated on August 26, 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.