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NICKY PHAM
NPI 1518658079
Dentist - General Practice in Moore, OK

Active since May 16, 2023
811 SW 19TH ST STE A, MOORE, OK 73160(405) 703-5161 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Nicky Pham NPPES

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

NICKY PHAM (NPI 1518658079) is an individual general practice provider in Moore, Oklahoma, licensed in Oklahoma (7750) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1518658079
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameNICKY PHAM
Location Address811 SW 19TH ST STE AMoore, OK 73160-2890
Mailing Address400 Riverwalk Ter Ste 250Jenks, OK 74037-5619
Phone(405) 703-5161
Sole ProprietorNo
Enumeration DateMay 16, 2023
NPPES CertifiedMay 16, 2023
✔ NPI 1518658079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OK · 7750
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.
811 SW 19TH ST STE A, Moore, OK 73160
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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.

ALANZO ARIS
Dentist
811 SW 19TH ST STE A
MOORE, OK 73160
Cleveland County (405) 703-5161
DALLIN BRYAN HARRIS DMD
Dentist
811 SW 19TH ST STE A
MOORE, OK 73160
Cleveland County (405) 703-5161
SUMMER DENTAL MOORE PLLC
Dentist (General Practice)
811 SW 19TH ST STE A
MOORE, OK 73160
Cleveland County (405) 703-5161

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 Nicky Pham's NPI number?

The NPI number for Nicky Pham is 1518658079. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Where is Nicky Pham located?

Nicky Pham practices at 811 SW 19th St Ste A, Moore, OK 73160. The listed phone number is (405) 703-5161.

What is Nicky Pham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Nicky Pham accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Nicky 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 Nicky Pham was last updated on May 16, 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.