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PHAM DDS DENTAL CORP
NPI 1396577656
Dentist - General Practice in San Diego, CA

Active since August 15, 2024
8555 STATION VILLAGE LN STE A, SAN DIEGO, CA 92108(619) 574-0205(619) 574-0537 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pham Dds Dental Corp NPPES

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

PHAM DDS DENTAL CORP (NPI 1396577656) is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since August 2024. The organization lists Richard K Pham, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1396577656
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePHAM DDS DENTAL CORP
Location Address8555 STATION VILLAGE LN STE ASan Diego, CA 92108-6567
Mailing Address8555 Station Village Ln Ste ASan Diego, CA 92108-6567 · (619) 574-0205 · Fax (619) 574-0537
Phone(619) 574-0205
Fax(619) 574-0537
Organization SubpartNo
Authorized OfficialRichard K PhamOwner Dentist · (408) 813-4107
Enumeration DateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
✔ NPI 1396577656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
Also ListedDentistTaxonomy 122300000X
8555 STATION VILLAGE LN STE A, San Diego, CA 92108
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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 Pham Dds Dental Corp's NPI number?

The NPI number for Pham Dds Dental Corp is 1396577656. It was assigned to this organization in the NPPES registry on August 15, 2024.

Where is Pham Dds Dental Corp located?

Pham Dds Dental Corp is located at 8555 Station Village Ln Ste A, San Diego, CA 92108. The listed phone number is (619) 574-0205.

What is Pham Dds Dental Corp'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 Pham Dds Dental Corp was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.