Tuyen T Pham, DMD, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS037122 Issued in PA

Practice address

125 N Franklin Drive
Suite 4
Washington, PA 15301

Phone

(724) 365-7775

Fax

(724) 365-7885

NPI assigned

Sep 7, 2007

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 PA

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

Credentials

Master of Science

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1366637878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N FRANKLIN DRIVE",
            "address_2": "SUITE 4",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "15301",
            "telephone_number": "724-365-7775",
            "fax_number": "724-365-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N FRANKLIN DRIVE",
            "address_2": "SUITE 4",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "15301",
            "telephone_number": "724-365-7775",
            "fax_number": "724-365-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TUYEN",
        "middle_name": "T",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS037122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Rae Pettit, MOTR/L
• Pezzone Gastroenterology Associates
• Danielle Pferdehirt
• Wayne J Pfrimmer, M.D.
• Anthony Ninh Pham
• Mohan Phanse, MD
• Angela Deaton Phares, P.A.
• Molly Elizabeth Philbin, D.O.
• Philip S. Pinsker DPM PC
• William Philips, RN

• Endodontics in Washington, PA
• Providers in Washington, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.