Serene Dental Care, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011672 Issued in GA

Legal business name

SERENE DENTAL CARE, LLC

Practice address

2605 Beaver Ruin Rd
Norcross, GA 30071-4136

Phone

(770) 409-9559

Fax

(770) 409-9230

NPI assigned

May 17, 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. Christine Pham, D.D.S.

Title

Managing Partner

Phone

(770) 409-9559

Specialties & licenses 1

Addresses

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.

• Christine Phuong Bach Pham, D.D.S.

  • General Practice Dentistry
  • Norcross, GA
  • NPI 1598785230
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790992790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 BEAVER RUIN RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300714136",
            "telephone_number": "770-409-9559",
            "fax_number": "770-409-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 BEAVER RUIN RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300714136",
            "telephone_number": "770-409-9559",
            "fax_number": "770-409-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "770-409-9559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Norcross, GA
• Providers in Norcross, GA by specialty
• General Practice Dentistry in Georgia

• 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.