Andrew Quang Pham, DDS

General Practice Dentistry · Fairfax, VA

Individual Active NPI

NPI number 1366996092

Practice location

3930 Walnut St Ste 210
Fairfax, VA 22030-4738
Phone
(703) 935-8699

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NPI record

NPI
1366996092
Entity type
Individual (Type 1)
Enumeration date
August 11, 2016
Last updated
March 26, 2021
Certified
March 26, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 0401415281 VA
General Practice Dentistry 1223G0001X 31912 TX

Mailing address

10779 Crest St
Fairfax, VA 22030-5171
Phone
(571) 224-8791

Other practice locations (1)

  • 24565 Dulles Landing Dr Unit 190, Dulles, VA 20166-2714 · (703) 457-8736

About Dr. Pham

Andrew Quang Pham, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3930 Walnut St Ste 210, Fairfax, VA 22030-4738. The NPI number 1366996092 was assigned on August 11, 2016 and the record was last updated on March 26, 2021.

Dr. Pham lists 2 licenses in the registry: #0401415281 (VA) for General Practice Dentistry; #31912 (TX) 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 Andrew Quang Pham, DDS?

The NPI number is 1366996092.

What is the phone number of Dr. Pham?

The phone number listed for the practice location is (703) 935-8699.

Where is Dr. Pham located?

3930 Walnut St Ste 210, Fairfax, VA 22030-4738.

What is the taxonomy code for Dr. Pham?

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