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MARY R PHAM DDS DENTAL CORPORATION
NPI 1194491738
Dentist - Pediatric Dentistry in Lake Forest, CA

Active since August 23, 2021
12751-21771 LAKE FOREST LANE DR., SUITE 21, LAKE FOREST, CA 92630(714) 528-8252 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary R Pham Dds Dental Corporation NPPES

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

MARY R PHAM DDS DENTAL CORPORATION (NPI 1194491738), doing business as Lollipop Pediatric Dentistry & Orthodontics, is a healthcare organization registered as a pediatric dentistry in Lake Forest, California and active in the NPI registry since August 2021. The organization lists Mary Regina Pham, Ceo/pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1194491738
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMARY R PHAM DDS DENTAL CORPORATION
Location Address12751-21771 LAKE FOREST LANE DR., SUITE 21Lake Forest, CA 92630
Mailing Address1041 E Yorba Linda Blvd Ste 206Placentia, CA 92870-3763 · (714) 528-8252
Phone(714) 528-8252
Organization SubpartNo
Authorized OfficialMary Regina PhamCeo/pediatric Dentist · (714) 528-8252
Enumeration DateAugust 23, 2021
Last NPPES UpdateAugust 25, 2021
NPPES CertifiedAugust 25, 2021
✔ NPI 1194491738 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
12751-21771 LAKE FOREST LANE DR., Lake Forest, CA 92630
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Other Names 1

Doing Business AsLollipop Pediatric Dentistry & Orthodontics

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 Dds Dental Corporation's NPI number?

The NPI number for Mary R Pham Dds Dental Corporation is 1194491738. It was assigned to this organization in the NPPES registry on August 23, 2021. The provider is doing business as Lollipop Pediatric Dentistry & Orthodontics.

Where is Mary R Pham Dds Dental Corporation located?

Mary R Pham Dds Dental Corporation is located at 12751-21771 Lake Forest Lane Dr. Suite 21, Lake Forest, CA 92630. The listed phone number is (714) 528-8252.

What is Mary R Pham Dds Dental Corporation'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 Dds Dental Corporation was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.