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DR. THACH PHAM D.M.D
NPI 1407816903
Dentist in Lakeland, FL

Active since March 27, 2006PECOS Enrolled
1417 LAKELAND HILLS BLVD STE 101, LAKELAND, FL 33805(866) 234-8534 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thach Pham D.m.d NPPES

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

DR. THACH PHAM D.M.D (NPI 1407816903) is an individual dentist in Lakeland, Florida, licensed in Florida (DN16419) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407816903
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. THACH PHAMCredential: D.M.D
Location Address1417 LAKELAND HILLS BLVD STE 101Lakeland, FL 33805-3200
Mailing Address47 5th St NwWinter Haven, FL 33881-4672 · (866) 234-8534
Phone(866) 234-8534
Sole ProprietorNo
Enumeration DateMarch 27, 2006
Last NPPES UpdateJanuary 5, 2022
NPPES CertifiedJanuary 5, 2022
✔ NPI 1407816903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN16419
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.
1417 LAKELAND HILLS BLVD STE 101, Lakeland, FL 33805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thach Pham D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARC A GUERRIER M.D.
Internal Medicine
1417 LAKELAND HILLS BLVD STE 101
LAKELAND, FL 33805
Polk County (863) 687-4575
CENTRAL FLORIDA HEALTH CARE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1417 LAKELAND HILLS BLVD STE 101
LAKELAND, FL 33805
Polk County (863) 229-7970
CENTRAL FLORIDA HEALTH CARE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1417 LAKELAND HILLS BLVD STE 101
LAKELAND, FL 33805
Polk County (866) 234-8534

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 Thach Pham's NPI number?

The NPI number for Thach Pham is 1407816903. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Thach Pham located?

Thach Pham practices at 1417 Lakeland Hills Blvd Ste 101, Lakeland, FL 33805. The listed phone number is (866) 234-8534.

What is Thach Pham's specialty?

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

Is Thach Pham enrolled in Medicare?

Yes. Thach Pham is registered in the Medicare PECOS enrollment system.

What insurance does Thach Pham accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 13 other insurers list Thach Pham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thach Pham was last updated on January 5, 2022. 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.