Life Smiles Dental, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN14922 Issued in FL

Legal business name

LIFE SMILES DENTAL, P.A.

Doing business as

Thi M. Pham, D.D.S.

Practice address

7400 Southland Blvd.
Suite 112
Orlando, FL 32809

Phone

(407) 812-4511

Fax

(407) 812-4588

NPI assigned

Apr 23, 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. Thi Minh Pham, D.D.S.NPI 1881002509

Title

President

Phone

(407) 812-4511

Specialties & licenses 1

Addresses

Other names 1

• Thi M. Pham, D.D.S. 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.

• Thi Minh Pham, D.D.S.

  • Dentist
  • Orlando, FL
  • NPI 1881002509
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851519110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 SOUTHLAND BLVD.",
            "address_2": "SUITE 112",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32809",
            "telephone_number": "407-812-4511",
            "fax_number": "407-812-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 SOUTHLAND BLVD.",
            "address_2": "SUITE 112",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32809",
            "telephone_number": "407-812-4511",
            "fax_number": "407-812-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SMILES DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THI",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-812-4511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN14922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thi M. Pham, D.D.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Life Journey Counseling and Consulting, LLC
• Life Love & Hope Home Care Services LLC
• Life Rehab and Wellness Center LLC
• Life Skills ABA Inc.
• Life Skills Associates Inc
• Life Solutions Counseling Center PLLC
• Life Specialty Pharmacy Medical Equipment and Supplies Inc.
• Life Specialty Pharmacy, Inc
• Life White Alf Corp
• Life Worth Living Foundation

• Dental Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Dental Clinic/Center in Florida

• 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.