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

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: July 19, 2026.

  • Individual
  • Female
  • Dentist
  • General Practice

About JACQUELINE PHAM

This page provides the complete NPI Profile along with additional information for Jacqueline Pham, a provider established in Chamblee, Georgia with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1609096049 assigned on April 2007. The practitioner's primary taxonomy code is 1223G0001X with license number DN0112567 (GA). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1609096049 Verify this NPI
Provider Name
JACQUELINE TUYEN PHAM DMD
Gender
Female
Entity Type
Individual
Location Address
4649 BUFORD HWY CHAMBLEE, GA 30341
Location Phone
(770) 452-1400
Mailing Address
4649 BUFORD HWY CHAMBLEE, GA 30341
Mailing Phone
(770) 452-1400
Is Sole Proprietor?
No
Enumeration Date
04-26-2007
Last Update Date
07-08-2007
Code Navigator

A dentist like Jacqueline Pham is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
DN0112567
License State
GA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
677HOTHER (01)GADORAL
00787333MEDICAID (05)GA 
101189OTHER (01)GAPEACH STATE

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
4649 BUFORD HWY
CHAMLEE, GA 30341

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609096049, enumerated as an "individual" on April 26, 2007.

The provider is located at 4649 BUFORD HWY CHAMBLEE, GA 30341 and the phone number is (770) 452-1400.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.