KIM-VY C PHAM DMD PLLC NPI 1558813733

NPI Information

  • NPI: 1558813733
  • Provider Name: KIM-VY C PHAM DMD PLLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: INSPIRED DENTAL AT SUNSET
  • CLIA Number: 29D2279694
  • Address: 110 E BRUNER AVE STE 130
    LAS VEGAS, NV
    ZIP 89183
  • Phone: (702) 798-6684

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NPI Details

KIM-VY C PHAM DMD PLLC is an oral and maxillofacial surgery dentist in Las Vegas, NV. The provider is an oral and maxillofacial surgery dentist specialized in 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. KIM-VY C PHAM DMD PLLC NPI is 1558813733. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Inspired Dental At Sunset.

The provider's business location address is:

110 E BRUNER AVE STE 130
LAS VEGAS, NV
ZIP 89183-700
Phone: (702) 798-6684
Fax: (702) 798-7203

The provider's authorized official is Kim-vy Chanh Pham .
The authorized official title is Dentist and has the following contact phone number (702) 985-5876.

The CLIA number assigned to this NPI record is 29D2279694 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2016 and was last updated on 8/8/2024.

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
11223S0112XDentistOral and Maxillofacial SurgeryYes
2261QD0000XClinic/CenterDental6793NEVADANo

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: 3/30/2025

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