DR. DIEU QUANG PHAM M.D. D.D.S. NPI 1205856598

NPI Information

  • NPI: 1205856598
  • Provider Name: DR. DIEU QUANG PHAM, M.D., D.D.S.
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17150 EUCLID ST STE 319
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Phone: (714) 444-2274

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NPI Details

DR. Dieu Quang Pham, M.D., D.D.S. is an oral maxillofacial surgery in Fountain Valley, CA with 24 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Dieu Quang Pham, M.D., D.D.S. NPI is 1205856598. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

17150 EUCLID ST STE 319
FOUNTAIN VALLEY, CA
ZIP 92708-092
Phone: (714) 444-2274
Fax: (714) 444-2034

The NPI 1205856598 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 12/3/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryA85351CALIFORNIAYes

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: 11/21/2025

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