Thao Phuong Pham, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN015848 Issued in GA

Practice address

3979 Buford Hwy NE Ste 122
Atlanta, GA 30345-1683

Phone

(470) 702-9000

NPI assigned

Jun 5, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wesmiledental LLC.

  • Dental Clinic/Center
  • Atlanta, GA
  • NPI 1659153039
  NPD Authorized official

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1093373920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 JIMMY CARTER BLVD # 700-A",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931502",
            "telephone_number": "770-559-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3979 BUFORD HWY NE STE 122",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451683",
            "telephone_number": "470-702-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THAO",
        "middle_name": "PHUONG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie De Noel Pham, LMSW
• Nga Pham, MD
• Richard Pham
• Richard Minh Hoang Pham
• Tam Thanh Pham, PMHNP
• Tuan Pham
• Gloria Tram Phan, OTR/L
• Han Cam Phan, MD
• Hoang Anh Rebecca Phan
• Tina Chau Lien Phan, MD

• Dentist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.