Individual provider Active NPI

Loan Pham, DDS

  • General Practice Dentistry
  • New Milford, CT
National Provider Identifier
1225957368
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14819 Issued in CT
Practice address
39 Park Lane Rd
New Milford, CT 06776-2923
Phone
(860) 350-2411
NPI assigned
Jul 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14819 CT Primary

Addresses

Primary practice location

39 Park Lane Rd
New Milford, CT 06776-2923

Mailing address

33 Abbey LN Unit 3409
Danbury, CT 06810-5222
Phone (669) 350-4089

Other practice location 1

8 School St
Bethel, CT 06801-1877
Phone (203) 792-7370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225957368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ABBEY LN UNIT 3409",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105222",
            "telephone_number": "669-350-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 PARK LANE RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762923",
            "telephone_number": "860-350-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 School St",
            "address_purpose": "LOCATION",
            "city": "Bethel",
            "state": "CT",
            "postal_code": "068011877",
            "country_code": "US",
            "telephone_number": "203-792-7370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "LOAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "14819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.