MARY PHAM IKEDA DDS MS INC NPI 1881281913

NPI Information

  • NPI: 1881281913
  • Provider Name: MARY PHAM IKEDA DDS MS INC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 4251 LONG BEACH BLVD UNIT C
    LONG BEACH, CA
    ZIP 90807
  • Phone: (714) 528-8252

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NPI Details

MARY PHAM IKEDA DDS MS INC is a pediatric dentistry dentist in Long Beach, CA. 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. MARY PHAM IKEDA DDS MS INC NPI is 1881281913. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4251 LONG BEACH BLVD UNIT C
LONG BEACH, CA
ZIP 90807-003
Phone: (714) 528-8252

The provider's authorized official is Mary Regina Pham .
The authorized official title is Ceo Pediatric Dentisty and has the following contact phone number (714) 528-8252.

The enumeration date for this NPI number is 12/22/2020 and was last updated on 12/22/2020.

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
11223P0221XDentistPediatric DentistryYes
21223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo

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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