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JENNIFER M. PHAM DMD PC NPI 1376190744


NPI Information

NPI: 1376190744
Provider Name: JENNIFER M. PHAM DMD PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
18 WIRT ST SW
LEESBURG, VA
ZIP 20175
Phone: (703) 777-5600
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JENNIFER M. PHAM DMD PC is a general practice dentist in Leesburg, VA. The provider is 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. JENNIFER M. PHAM DMD PC NPI is 1376190744. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18 WIRT ST SW
LEESBURG, VA
ZIP 20175-915
Phone: (703) 777-5600

The provider's authorized official is Jennifer Minh Pham .
The authorized official title is President and has the following contact phone number (703) 629-5088.

The enumeration date for this NPI number is 8/21/2019 and was last updated on 8/21/2019.


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
11223P0700XDentistProsthodonticsNo
21223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
31223G0001XDentistGeneral PracticeYes

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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