JORDAN PHAM DENTAL CORPORATION NPI 1710205505

NPI Information

  • NPI: 1710205505
  • Provider Name: JORDAN PHAM DENTAL CORPORATION
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Doing Business As: JORDAN & PHAM DENTISTRY
  • Address: 30212 TOMAS
    SUITE 340
    RANCHO SANTA MARGARITA, CA
    ZIP 92688
  • Phone: (949) 888-5665

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NPI Details

JORDAN PHAM DENTAL CORPORATION is a point of service in Rancho Santa Margarita, CA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. JORDAN PHAM DENTAL CORPORATION NPI is 1710205505. The provider is registered as an organization entity type.
The provider Is Doing Business As Jordan & Pham Dentistry.

The provider's business location address is:

30212 TOMAS
SUITE 340
RANCHO SANTA MARGARITA, CA
ZIP 92688
Phone: (949) 888-5665
Fax: (949) 888-6835

The provider's authorized official is Christopher A Jordan .
The authorized official title is President and has the following contact phone number (949) 888-5665.

The enumeration date for this NPI number is 5/4/2010 and was last updated on 5/26/2022.

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
1305S00000XPoint of Service51597CALIFORNIAYes

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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