The Hung Pham,D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19655 Issued in TX

Legal business name

THE HUNG PHAM,D.D.S., P.A.

Doing business as

Bent Tree Dental Associates

Practice address

145 Oyster Creek Dr
Ste 8
Lake Jackson, TX 77566-4197

Phone

(979) 297-3882

Fax

(979) 297-4497

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. The Hung Pham, D.D.S.NPI 1205054350

Title

Owner

Phone

(979) 297-3882

Specialties & licenses 1

Addresses

Other names 1

• Bent Tree Dental Associates Doing business as

Locations

Practitioners 1

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.

• The Hung Pham, D.D.S.

  • General Practice Dentistry
  • Lake Jackson, TX
  • NPI 1205054350
  Authorized official Same address or phone

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427277151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 OYSTER CREEK DR",
            "address_2": "STE 8",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664197",
            "telephone_number": "979-297-3882",
            "fax_number": "979-297-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 OYSTER CREEK DR",
            "address_2": "STE 8",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664197",
            "telephone_number": "979-297-3882",
            "fax_number": "979-297-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HUNG PHAM,D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THE",
        "authorized_official_middle_name": "HUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-297-3882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bent Tree Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• General Practice Dentistry in Texas

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