NPIMap

Organization Active NPI

Tuan D Pham DMD & Joseph a Maloney DDS, LLC

  • General Practice Dentistry
  • Waldorf, MD
National Provider Identifier
1558364208
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13053 Issued in MD
Legal business name
TUAN D PHAM DMD & JOSEPH A MALONEY DDS, LLC
Practice address
3450 Old Washington Rd
Ste 204
Waldorf, MD 20602-3250
Phone
(301) 374-9033
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Tuan Pham, D.M.D.NPI 1720206451
Title
Owner
Phone
(301) 374-9033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13053 MD Primary

Addresses

Primary practice location

3450 Old Washington Rd
Ste 204
Waldorf, MD 20602-3250

Mailing address

3450 Old Washington Rd
Ste 204
Waldorf, MD 20602-3250

National Provider Directory

National Provider Directory

Locations

3450 Old Washington Rd
Ste 204
Waldorf, MD 20602
Phone (301) 374-9033

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1558364208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 OLD WASHINGTON RD",
            "address_2": "STE 204",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 OLD WASHINGTON RD",
            "address_2": "STE 204",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023250",
            "telephone_number": "301-374-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUAN D PHAM DMD & JOSEPH A MALONEY DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-374-9033",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.