MR. LAN THANH PHAM (NPI# 1235231481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235231481 |
| Entity Type | Individual |
| Full Name | MR. LAN THANH PHAM |
| Credential | DDS |
| Practice Address |
5775 Jimmy Carter Blvd Good Care Dental Ste 440 Norcross GA 30071 |
| Mailing Address |
1900 Brandie Elaine Ave Snellville GA 30078 |
| Practice Telephone | 7704474702 |
| Practice Fax Number | 7704474705 |
| Mailing Telephone | 7707367619 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12144 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427550730 | Lan Thi Pham | Licensed Vocational Nurse | 840 Delaware Dr, Bridge City, TX 77611 | 2018-03-02 |
| 1437295425 | Lan Pham | Acupuncturist | 11108 Stonecress Ave, Fountain Valley, CA 92708-2401 | 2007-01-29 |
| 1548264252 | Lan N Pham | Internal Medicine | 1615 Delaware St, Longview, WA 98632-2367 | 2005-06-09 |
| 1841748811 | Lan Pham | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840-3146 | 2016-09-19 |
| 1659789519 | Lan Pham | Pharmacist | 1015 E Ray Rd, Chandler, AZ 85225-1599 | 2014-07-23 |
| 1114056868 | Lan N Pham | Dentist | 14044 Magnolia St, Suite 125, Westminster, CA 92683-4700 | 2007-03-05 |
| 1689665747 | Lan Huu Pham | Internal Medicine | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2005-10-28 |
| Street Address |
5775 JIMMY CARTER BLVD GOOD CARE DENTAL STE 440 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366606741 | Good Care Dental LLC | Clinic/Center | 5775 Jimmy Carter Blvd, Suite 440, Norcross, GA 30071 | 2008-07-15 |
| 1821115254 | Terrill Mark Wright | Internal Medicine | 5775 Jimmy Carter Blvd, Norcross, GA 30071-2989 | 2007-03-22 |
| 1700903135 | Mehrab Jonathon Zarian-dero | Physician Assistant | 5775 Jimmy Carter Blvd, #200, Norcross, GA 30071-2989 | 2007-03-22 |
| 1114096328 | Chirag G Patel | Chiropractor | 5775 Jimmy Carter Blvd, Suite M 220 A, Norcross, GA 30071-2989 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| Find all providers in zip 30071 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242693 | Georgia Dental Professionals, PC | Dentist | 5185 Peachtree Pkwy Ste 201, Norcross, GA 30092-6539 | 2020-07-22 |
| 1528617289 | Safa Shamim Dalwai | Dentist | 6141 Peachtree Pkwy, Norcross, GA 30092-3304 | 2019-09-05 |
| 1023662194 | Lauren Crawford Weant | Dentist | 3850 Holcomb Bridge Rd Ste 200, Norcross, GA 30092-5223 | 2019-07-28 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1184043143 | Dammer Armando Salazar | Dentist | 1650 Oakbrook Dr Ste 440, Norcross, GA 30093-1817 | 2014-04-07 |
| 1265872014 | To Nga Thi Dinh | Dentist | 1514 Glenleaf Dr, Norcross, GA 30092-6114 | 2013-06-26 |
| 1487953741 | Avala Dental Providers | Dentist | 5495 Jimmy Carter Blvd., Suite A-14, Norcross, GA 30093 | 2011-03-24 |
| 1538318894 | Hannah Lee | Dentist | 6185 Buford Hwy # G, Norcross, GA 30071-2350 | 2008-09-11 |
| 1205084944 | Zina Aaron | Dentist | 1004 Carroll Ct, Norcross, GA 30071-5010 | 2008-09-07 |
| 1144481987 | Norcross Dental Associates | Dentist | 6270 Smithpointe Dr, Norcross, GA 30092-2754 | 2008-06-24 |
| Find all providers in NORCROSS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.