Quyen T. Pham, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN21865 Issued in FL

Practice address

743 Stirling Center PL Ste 1701
Lake Mary, FL 32746-5712

Phone

(352) 404-5550

NPI assigned

Jun 10, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Networks

• Freedom Health HMO Network

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1023467925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 STIRLING CENTER PL STE 1701",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465712",
            "telephone_number": "352-404-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 STIRLING CENTER PL STE 1701",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465712",
            "telephone_number": "352-404-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "QUYEN",
        "middle_name": "T.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN21865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jurnee Pettigrew
• Eric Wayne Pettyjohn, MD
• Azia Beyonce Pew
• Anne W Pham
• Lien Thuy Pham, PHARM.D.
• Pharmique Pharmacy LLC
• Roungnapha Phasavath, BEHAVIOR TECHNICIAN
• Samantha Rhiannon Phifer
• Alexander Philipovskiy, M.D., PH.D
• Andell Y Phillip

• Endodontics in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.