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DERRICK PHAM DDS PROFESSIONAL CORPORATION DBA LV DENTAL
NPI 1811623283
Dentist - General Practice in Las Vegas, NV

Active since July 28, 2022
4705 S DURANGO DR STE 115, LAS VEGAS, NV 89147(714) 417-0246 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derrick Pham Dds Professional Corporation Dba Lv Dental NPPES

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

DERRICK PHAM DDS PROFESSIONAL CORPORATION DBA LV DENTAL (NPI 1811623283) is a healthcare organization registered as a general practice in Las Vegas, Nevada and active in the NPI registry since July 2022. The organization lists Derrick Pham, President, as its authorized official.

NPPES Registry Identity

NPI1811623283
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDERRICK PHAM DDS PROFESSIONAL CORPORATION DBA LV DENTAL
Location Address4705 S DURANGO DR STE 115Las Vegas, NV 89147-8162
Mailing Address4705 S Durango Dr Ste 115Las Vegas, NV 89147-8162 · (714) 417-0246
Phone(714) 417-0246
Organization SubpartNo
Authorized OfficialDerrick PhamPresident · (714) 417-0246
Enumeration DateJuly 28, 2022
NPPES CertifiedJuly 28, 2022
✔ NPI 1811623283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
4705 S DURANGO DR STE 115, Las Vegas, NV 89147
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 Derrick Pham Dds Professional Corporation Dba Lv Dental's NPI number?

The NPI number for Derrick Pham Dds Professional Corporation Dba Lv Dental is 1811623283. It was assigned to this organization in the NPPES registry on July 28, 2022.

Where is Derrick Pham Dds Professional Corporation Dba Lv Dental located?

Derrick Pham Dds Professional Corporation Dba Lv Dental is located at 4705 S Durango Dr Ste 115, Las Vegas, NV 89147. The listed phone number is (714) 417-0246.

What is Derrick Pham Dds Professional Corporation Dba Lv Dental'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 Derrick Pham Dds Professional Corporation Dba Lv Dental was last updated on July 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.