Aquarium Dental , PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21910 Issued in TX

Legal business name

AQUARIUM DENTAL , PLLC

Practice address

9404 W Sam Houston Pkwy S Ste a
Houston, TX 77099-2054

Phone

(281) 568-1270

Fax

(281) 568-1603

NPI assigned

Jun 3, 2009

Last updated

Jun 3, 2009By 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. Tuan Thanh Pham, D.D.S

Title

Ceo

Phone

(281) 568-1270

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1437385630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9404 W SAM HOUSTON PKWY S STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770992054",
            "telephone_number": "281-568-1270",
            "fax_number": "281-568-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9404 W SAM HOUSTON PKWY S STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770992054",
            "telephone_number": "281-568-1270",
            "fax_number": "281-568-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUARIUM DENTAL , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-568-1270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Houston, TX
• Providers in Houston, 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 Jun 3, 2009; 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.