Lan Thanh Pham, DDS

General Practice Dentistry · Norcross, GA

Individual Active NPI

NPI number 1235231481

Practice location

5775 Jimmy Carter Blvd
Good Care Dental Ste 440
Norcross, GA 30071
Phone
(770) 447-4702
Fax
(770) 447-4705

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NPI record

NPI
1235231481
Entity type
Individual (Type 1)
Enumeration date
September 1, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12144 GA

Mailing address

1900 Brandie Elaine Ave
Snellville, GA 30078
Phone
(770) 736-7619

About Dr. Pham

Lan Thanh Pham, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5775 Jimmy Carter Blvd, Good Care Dental Ste 440, Norcross, GA 30071. The NPI number 1235231481 was assigned on September 1, 2006 and the record was last updated on July 8, 2007.

Dr. Pham lists a license in the registry: #12144 (GA) 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 Lan Thanh Pham, DDS?

The NPI number is 1235231481.

What is the phone number of Dr. Pham?

The phone number listed for the practice location is (770) 447-4702.

Where is Dr. Pham located?

5775 Jimmy Carter Blvd, Good Care Dental Ste 440, Norcross, GA 30071.

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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