Peter Nguyen Pham, DDS

Dentist · Manteca, CA

Individual Active NPI

NPI number 1548869407

Practice location

2288 Daniels St
Manteca, CA 95337-6706
Phone
(209) 456-5610

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NPI record

NPI
1548869407
Entity type
Individual (Type 1)
Enumeration date
October 21, 2020
Last updated
October 21, 2020
Certified
October 21, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 105741 CA

About Dr. Pham

Peter Nguyen Pham, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2288 Daniels St, Manteca, CA 95337-6706. The NPI number 1548869407 was assigned on October 21, 2020 and the record was last updated on October 21, 2020.

Dr. Pham lists a license in the registry: #105741 (CA) 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 Peter Nguyen Pham, DDS?

The NPI number is 1548869407.

What is the phone number of Dr. Pham?

The phone number listed for the practice location is (209) 456-5610.

Where is Dr. Pham located?

2288 Daniels St, Manteca, CA 95337-6706.

What is the taxonomy code for Dr. Pham?

The primary taxonomy code is 122300000X – Dentist.

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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