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LOLLIPOP PEDIATRIC DENTISTRY & ORTHODONTICS
NPI 1245827377
Dentist - Pediatric Dentistry in Tustin, CA

Active since December 22, 2020
13931 CARROLL WAY STE C, TUSTIN, CA 92780(714) 528-8252 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2022, Dec 22, 2020 (2 updates tracked since 2020).

About Lollipop Pediatric Dentistry & Orthodontics NPPES

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

LOLLIPOP PEDIATRIC DENTISTRY & ORTHODONTICS (NPI 1245827377) is a healthcare organization registered as a pediatric dentistry in Tustin, California and active in the NPI registry since December 2020. The organization lists Mary Regina Pham, Ceo Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1245827377
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMARY PHAM DDS DENTAL CORPORATION
Location Address13931 CARROLL WAY STE CTustin, CA 92780-1861
Mailing Address2750 Harbor Blvd Ste B6Costa Mesa, CA 92626-5121 · (714) 528-8252
Phone(714) 528-8252
Organization SubpartNo
Authorized OfficialMary Regina PhamCeo Pediatric Dentist · (714) 528-8252
Enumeration DateDecember 22, 2020
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1245827377 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
13931 CARROLL WAY STE C, Tustin, CA 92780
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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 Pham Dds Dental Corporation's NPI number?

The NPI number for Mary Pham Dds Dental Corporation is 1245827377. It was assigned to this organization in the NPPES registry on December 22, 2020. The provider is doing business as Lollipop Pediatric Dentistry & Orthodontics.

Where is Mary Pham Dds Dental Corporation located?

Mary Pham Dds Dental Corporation is located at 13931 Carroll Way Ste C, Tustin, CA 92780. The listed phone number is (714) 528-8252.

What is Mary 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 Pham Dds Dental Corporation was last updated on February 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.