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MARY PHAM IKEDA DENTAL CORPORATION
NPI 1518554641
Dentist - Pediatric Dentistry in Cerritos, CA

Active since December 22, 2020
13047 ARTESIA BLVD STE C100, CERRITOS, CA 90703(714) 528-8252 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Pham Ikeda Dental Corporation NPPES

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

MARY PHAM IKEDA DENTAL CORPORATION (NPI 1518554641), doing business as Lollipop Pediatric Dentistry & Orthodontics, is a healthcare organization registered as a pediatric dentistry in Cerritos, 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

NPI1518554641
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMARY PHAM IKEDA DENTAL CORPORATION
Location Address13047 ARTESIA BLVD STE C100Cerritos, CA 90703-1369
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
NPPES CertifiedDecember 22, 2020
✔ NPI 1518554641 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
13047 ARTESIA BLVD STE C100, Cerritos, CA 90703
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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 Ikeda Dental Corporation's NPI number?

The NPI number for Mary Pham Ikeda Dental Corporation is 1518554641. 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 Ikeda Dental Corporation located?

Mary Pham Ikeda Dental Corporation is located at 13047 Artesia Blvd Ste C100, Cerritos, CA 90703. The listed phone number is (714) 528-8252.

What is Mary Pham Ikeda 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 Ikeda Dental Corporation was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.