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AMY H. PHAM A PROFESSIONAL DENTAL CORPORATION NPI 1083005698


NPI Information

NPI: 1083005698
Provider Name: AMY H. PHAM, A PROFESSIONAL DENTAL CORPORATION

Doing Business As: PRODENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2630 OLIVE HWY
SUITE A
OROVILLE, CA
ZIP 95966
Phone: (530) 534-6666
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AMY H. PHAM, A PROFESSIONAL DENTAL CORPORATION is a dental clinic center in Oroville, CA. AMY H. PHAM, A PROFESSIONAL DENTAL CORPORATION NPI is 1083005698. The provider is registered as an organization entity type.
The provider Is Doing Business As Prodental.

The provider's business location address is:

2630 OLIVE HWY
SUITE A
OROVILLE, CA
ZIP 95966-138
Phone: (530) 534-6666
Fax: (530) 534-1040

The provider's authorized official is Amy H Pham .
The authorized official title is Owner and has the following contact phone number (530) 534-6666.

The enumeration date for this NPI number is 2/18/2015 and was last updated on 2/18/2015.


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
1261QD0000XClinic/CenterDental52451CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11174509848MEDICAIDCALIFORNIA

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: 11/14/2023

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