Mary Regina Pham, D.D.S., M.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

60222 Issued in CA

Practice address

1041 E Yorba Linda Blvd Ste 206
Placentia, CA 92870-3760

Phone

(714) 528-8252

NPI assigned

Mar 9, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Mary Regina Pham D.D.S., M.S. Dental Corporation

  dba Lollipop Pediatric Dentistry

  • Pediatric Dentistry
  • Placentia, CA
  • NPI 1326309329
  NPD Authorized official
• Mary Pham Ikeda Dental Corporation

  dba Lollipop Pediatric Dentistry & Orthodontics

  • Pediatric Dentistry
  • Cerritos, CA
  • NPI 1518554641
  NPD (past) Authorized official
• Mary R Pham DDS Dental Corporation

  dba Lollipop Pediatric Dentistry & Orthodontics

  • Pediatric Dentistry
  • Lake Forest, CA
  • NPI 1194491738
  NPD (past) Authorized official

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1316188030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD STE 206",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703760",
            "telephone_number": "714-528-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD STE 206",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703760",
            "telephone_number": "714-528-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MARY",
        "middle_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "60222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Dolas,DDS & Stefanie Dolas,DDS Apc
• Kacie Lynn Peters
• Stephanie Petersen, MS SLP CCC
• Petreccia and Trotter Medical Corporation (Infectious Disease Consultants Med. Office, Inc.)
• Deborah Petros
• Peter Minh Pham
• Thao Trinh Pham, SPEECH PATHOLOGIST
• Nghi Tran Dinh Phan
• Melissa Phillips
• Physician Assistant House Calls Inc

• Pediatric Dentistry in Placentia, CA
• Providers in Placentia, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.