Michael T Pham is a Dentist in Las Vegas, Nevada. Michael T Pham practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael T Pham is 1619154507. The last update date is 2015-06-08.
Michael T Pham's current location address is 5905 S Eastern Ave Ste 112, Las Vegas, Nevada. You can contact this provider via phone number 7022625693 and fax number 7022621301. The mailing address for Michael T Pham is 5905 S Eastern Ave Ste 112, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael T Pham |
|---|---|
| Address | 5905 S Eastern Ave Ste 112, Las Vegas, Nevada |
| Phone Number | 7022625693 |
| Fax Number | 7022621301 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1619154507 |
|---|---|
| Provider Enumeration Date | 2008-01-23 |
| Last Updated Date | 2015-06-08 |
Provider Mailing Address Detail
| Address | 5905 S Eastern Ave Ste 112 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891193130 |
| Phone Number | 7022625693 |
| Fax Number | 7022621301 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4769 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Michael T Pham by the Centers for Medicare & Medicaid Services (CMS)?
The Michael T Pham has been assigned the NPI (National Provider Identifier) 1619154507. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Michael T Pham is located?
The Michael T Pham is situated at the following address: 5905 S Eastern Ave Ste 112, Las Vegas, NV, 891193130.
What is the Michael T Pham's area of specialization and corresponding taxonomy classification?
The Michael T Pham's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1619154507 to Michael T Pham?
The Centers for Medicare & Medicaid Services assigned the 1619154507 to Michael T Pham on 2008-01-23.
As of what date were the details related to Michael T Pham most recently updated or revised?
The information pertaining to Michael T Pham, including its address, specialty, and other relevant details, was last updated or revised on 2015-06-08.