Mark Pham, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN21073 Issued in MA

Legal business name

MARK PHAM, DMD, PC

Doing business as

Obery Dental

Practice address

57 Obery St
Suite 2
Plymouth, MA 02360-2480

Phone

(617) 820-6447

NPI assigned

Apr 25, 2012

Last updated

Apr 25, 2012By 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. Mark Pham, D.M.D.NPI 1538126586

Title

Director

Phone

(617) 820-6447

Specialties & licenses 1

Addresses

Other names 1

• Obery Dental 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.

• Mark Pham, D.M.D.

  • Dentist
  • Plymouth, MA
  • NPI 1538126586
  NPD Authorized official

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1538427745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 OBERY ST",
            "address_2": "SUITE 2",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "617-820-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 OBERY ST",
            "address_2": "SUITE 2",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602480",
            "telephone_number": "617-820-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK PHAM, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-820-6447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN21073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Obery Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey E Margetts
• Stephanie L Marglin, M.D.
• Michael Joseph Marinaccio
• Hannah Marino
• Maritime Physical Therapy Inc. (Maritime Physical Therapy)
• Donald Scott Marks, M.D.
• Justin Marotta, PMHNP-BC
• Christopher Marshall, PT
• Lindsay Marshall, BSN,RN, IBCLC
• Aimee Martelle

• General Practice Dentistry in Plymouth, MA
• Providers in Plymouth, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.