DR. TRI HUU PHAM DDS NPI 1558597963

NPI Information

DR. Tri Huu Pham, DDS is an oral and maxillofacial surgery dentist in Fort Worth, TX. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Tri Huu Pham, DDS NPI is 1558597963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6426 MEADOWBROOK DR
FORT WORTH, TX
ZIP 76112-123
Phone: (817) 496-2343

The NPI 1558597963 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).

The enumeration date for this NPI number is 6/1/2009 and was last updated on 7/30/2019.

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:

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