Deryck Pham, D.D.S.

Dentist · Marmora, NJ

Individual Active NPI

NPI number 1023001922

Practice location

447 S Shore Rd
Marmora, NJ 08223-1292
Phone
(609) 390-0111

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NPI record

NPI
1023001922
Entity type
Individual (Type 1)
Enumeration date
August 25, 2005
Last updated
August 9, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 02355500 NJ
Dentist 122300000X 052396-1 NY

About Dr. Pham

Deryck Pham, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 447 S Shore Rd, Marmora, NJ 08223-1292. The NPI number 1023001922 was assigned on August 25, 2005 and the record was last updated on August 9, 2007.

Dr. Pham lists 2 licenses in the registry: #02355500 (NJ) for Dentist; #052396-1 (NY) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Deryck Pham, D.D.S.?

The NPI number is 1023001922.

What is the phone number of Dr. Pham?

The phone number listed for the practice location is (609) 390-0111.

Where is Dr. Pham located?

447 S Shore Rd, Marmora, NJ 08223-1292.

What is the taxonomy code for Dr. Pham?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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