JACQUELINE TUYEN PHAM DMD
NPI 1609096049
Dentist - General Practice in Chamblee, GA

Q: What is Jacqueline Pham's NPI number?

The NPI number for Jacqueline Pham is 1609096049. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Q: What is Jacqueline Pham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Pham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 26, 2007

4649 BUFORD HWY, CHAMBLEE, GA 30341(770) 452-1400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jacqueline Tuyen Pham Dmd NPPES

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

JACQUELINE TUYEN PHAM DMD (NPI 1609096049) is an individual general practice provider in Chamblee, Georgia, licensed in Georgia (DN0112567) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1609096049

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameJACQUELINE TUYEN PHAMCredential: DMD

Location Address4649 BUFORD HWYChamblee, GA 30341

Mailing Address4649 Buford HwyChamblee, GA 30341 · (770) 452-1400

Phone(770) 452-1400

Sole ProprietorNo

Enumeration DateApril 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1609096049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · DN0112567

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.

4649 BUFORD HWY, Chamblee, GA 30341

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Other Identifiers 3

Other677HGA · Doral

Medicaid00787333GA

Other101189GA · Peach State

Other Providers at the Same Location NPPES

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

SOUTH EAST DENTAL

Dentist (General Practice)

4649 BUFORD HWY
CHAMLEE, GA 30341

Dekalb County (770) 452-1400

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 Jacqueline Pham's NPI number?

The NPI number for Jacqueline Pham is 1609096049. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Jacqueline Pham located?

Jacqueline Pham practices at 4649 Buford Hwy, Chamblee, GA 30341. The listed phone number is (770) 452-1400.

What is Jacqueline Pham'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 Jacqueline Pham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.