KELLY PHAM RDH NPI 1841734126

NPI Information

  • NPI: 1841734126
  • Provider Name: KELLY PHAM, RDH
  • Classification: Dental Hygienist - 124Q00000X
  • Entity Type: Individual
  • Address: 1211 MERIDIAN AVE
    SAN JOSE, CA
    ZIP 95125
  • Phone: (408) 445-3400

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NPI Details

Kelly Pham, RDH is a dental hygienist in San Jose, CA. The provider is an individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. Kelly Pham, RDH NPI is 1841734126. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1211 MERIDIAN AVE
SAN JOSE, CA
ZIP 95125-210
Phone: (408) 445-3400

The enumeration date for this NPI number is 12/6/2016 and was last updated on 12/6/2016.

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
1124Q00000XDental Hygienist24883CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1124Q00000XOTHERCALIFORNIADENTAL HYGIENIST

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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