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MICHAEL PHAM DDS NPI 1245607837


NPI Information

NPI: 1245607837
Provider Name: MICHAEL PHAM, DDS
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
2801 WATERMAN BLVD STE 290
FAIRFIELD, CA
ZIP 94534
Phone: (707) 425-5666
Get Directions

Michael Pham, DDS is an endodontics dentist in Fairfield, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. Michael Pham, DDS NPI is 1245607837. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2801 WATERMAN BLVD STE 290
FAIRFIELD, CA
ZIP 94534-972
Phone: (707) 425-5666

The enumeration date for this NPI number is 8/31/2015 and was last updated on 2/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics64987CALIFORNIAYes
2122300000XDentistD14185MINNESOTANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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