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NICOLE L PHAM D.D.S
NPI 1245527472
Dentist - General Practice in San Bruno, CA

Active since July 08, 2011
3303 AEGEAN WAY, SAN BRUNO, CA 94066(510) 759-5696 Get Directions Write a Review

NPPES record last updated: July 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole L Pham D.d.s NPPES

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

NICOLE L PHAM D.D.S (NPI 1245527472) is an individual general practice provider in San Bruno, California, licensed in California (60453) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1245527472
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameNICOLE L PHAMCredential: D.D.S
Location Address3303 AEGEAN WAYSan Bruno, CA 94066-4570
Mailing Address3303 Aegean WaySan Bruno, CA 94066-4570
Phone(510) 759-5696
Sole ProprietorNo
Enumeration DateJuly 8, 2011
✔ NPI 1245527472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 60453
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3303 AEGEAN WAY, San Bruno, CA 94066
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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 Nicole Pham's NPI number?

The NPI number for Nicole Pham is 1245527472. It was assigned to this individual provider in the NPPES registry on July 8, 2011.

Where is Nicole Pham located?

Nicole Pham practices at 3303 Aegean Way, San Bruno, CA 94066. The listed phone number is (510) 759-5696.

What is Nicole Pham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Nicole Pham was last updated on July 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.