DR. GINA CUC PHAM DDS NPI 1861525818

NPI Information

  • NPI: 1861525818
  • Provider Name: DR. GINA CUC PHAM, DDS
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 12602 LAKE RIDGE DR
    WOODBRIDGE, VA
    ZIP 22192
  • Phone: (703) 490-5050

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NPI Details

DR. Gina Cuc Pham, DDS is a pediatric dentistry dentist in Woodbridge, VA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Gina Cuc Pham, DDS NPI is 1861525818. 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:

12602 LAKE RIDGE DR
WOODBRIDGE, VA
ZIP 22192-335
Phone: (703) 490-5050
Fax: (703) 490-1155

The enumeration date for this NPI number is 3/13/2007 and was last updated on 3/17/2021.

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
1122300000XDentist13454MARYLANDNo
21223P0221XDentistPediatric Dentistry0401411775VIRGINIAYes
31223P0221XDentistPediatric DentistryDEN1001433DISTRICT OF COLUMBIANo

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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