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DR. JENEVIE PHAM DDS
NPI 1356057723
Dentist in Wilmington, CA

Active since January 27, 2023
1239 N AVALON BLVD # A, WILMINGTON, CA 90744(714) 417-8283 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2023, Jan 27, 2023 (2 updates tracked since 2023).

About Dr. Jenevie Pham Dds NPPES

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

DR. JENEVIE PHAM DDS (NPI 1356057723) is an individual dentist in Wilmington, California, licensed in California (108455) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1356057723
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JENEVIE PHAMCredential: DDS
Location Address1239 N AVALON BLVD # AWilmington, CA 90744-2601
Mailing Address1239 N Avalon Blvd # AWilmington, CA 90744-2601 · (714) 417-8283
Phone(714) 417-8283
Sole ProprietorYes
Enumeration DateJanuary 27, 2023
Last NPPES UpdateMarch 30, 20232 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1356057723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 108455
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1239 N AVALON BLVD # A, Wilmington, CA 90744
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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 Jenevie Pham's NPI number?

The NPI number for Jenevie Pham is 1356057723. It was assigned to this individual provider in the NPPES registry on January 27, 2023.

Where is Jenevie Pham located?

Jenevie Pham practices at 1239 N Avalon Blvd # A, Wilmington, CA 90744. The listed phone number is (714) 417-8283.

What is Jenevie Pham's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jenevie Pham was last updated on March 30, 2023. 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.