DR. BENJAMIN PHAM DMD NPI 1922434562

NPI Information

  • NPI: 1922434562
  • Provider Name: DR. BENJAMIN PHAM, DMD
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 2020 8TH AVE STE 121
    WEST LINN, OR
    ZIP 97068
  • Phone: (503) 305-6505

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NPI Details

DR. Benjamin Pham, DMD is a pediatric dentistry dentist in West Linn, OR. 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. Benjamin Pham, DMD NPI is 1922434562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2020 8TH AVE STE 121
WEST LINN, OR
ZIP 97068-657
Phone: (503) 305-6505

The enumeration date for this NPI number is 9/14/2013 and was last updated on 11/30/2020.

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 DentistryD10575OREGONYes
21223P0221XDentistPediatric Dentistry056971-1NEW YORKNo
31223P0221XDentistPediatric Dentistry64392CALIFORNIANo

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
103818279MEDICAIDNEW YORK

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

NPI Synchronization or Removal

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