Lily Pham, DDS

General Practice Dentistry · Ladera Ranch, CA

Individual Active NPI

NPI number 1164026415

Practice location

27412 Antonio Pkwy Ste R4
Ladera Ranch, CA 92694-2164
Phone
(949) 347-7083

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NPI record

NPI
1164026415
Entity type
Individual (Type 1)
Enumeration date
November 27, 2020
Last updated
January 4, 2022
Certified
December 30, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 105422 CA

Mailing address

31281 Via Parra
San Juan Capistrano, CA 92675-2847
Phone
(714) 383-2640

About Dr. Pham

Lily Pham, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 27412 Antonio Pkwy Ste R4, Ladera Ranch, CA 92694-2164. The NPI number 1164026415 was assigned on November 27, 2020 and the record was last updated on January 4, 2022.

Dr. Pham lists a license in the registry: #105422 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lily Pham, DDS?

The NPI number is 1164026415.

What is the phone number of Dr. Pham?

The phone number listed for the practice location is (949) 347-7083.

Where is Dr. Pham located?

27412 Antonio Pkwy Ste R4, Ladera Ranch, CA 92694-2164.

What is the taxonomy code for Dr. Pham?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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