Jefferey Pham Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

63830 Issued in CA

Legal business name

JEFFEREY PHAM DENTAL CORP

Practice address

7812 Warner Ave
Huntington Beach, CA 92647-4700

Phone

(714) 375-3222

Fax

(714) 375-3223

NPI assigned

Sep 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jefferey Pham, DDSNPI 1033510771

Title

Ceo

Phone

(714) 823-0854

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jefferey Pham, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Huntington Beach, CA
  • NPI 1033510771
  Authorized official Same address or phone
• Mandy Huynh Vuong, DDS

  • General Practice Dentistry
  • Huntington Beach, CA
  • NPI 1396527727
  NPD
• Benjamin Melvin Khaw, DMD

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1881085660
  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1144748344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15701 SPAR ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928435353",
            "telephone_number": "714-823-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7812 WARNER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474700",
            "telephone_number": "714-375-3222",
            "fax_number": "714-375-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFEREY PHAM DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "JEFFEREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-823-0854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "63830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeffery L Johnson DDS
• Jeffrey M. Coleman, D.D.S., Inc. (Surf City Dentist)
• Jeffrey S. Dang Inc (See Breeze Optometry)
• Jenifer Espenscheid Chiropractic Corporation (HB Healing Place)
• Jennifer a Mitzel (Center Circle Counseling)

• Dental Clinic/Center in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.