YVES PHAM DMD PLLC (NPI# 1255800868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255800868 |
| Entity Type | Organization |
| Organization Name | YVES PHAM DMD PLLC |
| Other Organization Name | NORTHERN EDGE DENTISTRY |
| Practice Address |
281 W Centennial Pkwy # 100-101 North Las Vegas NV 89084-1349 |
| Mailing Address |
1350 N Town Center Dr Unit 2073 Las Vegas NV 89144-0586 |
| Practice Telephone | 7144006339 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2019-03-10 |
| Authorized Official Name | MR. GARRY B TRINH (OFFICE MANAGER) |
| Authorized Official Telephone | 7144006339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Northern Edge Dentistry | Doing Business As Name - Organization |
| Street Address |
281 W CENTENNIAL PKWY # 100-101 |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89084-1349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275016677 | Donna Faye Bonner | Technician | 121 Elks Peak Ave., 121 Elks Peak Ave, N. Las Vegas, NV 89084 | 2018-09-11 |
| 1376047662 | Dolly Leticia Diaz | Technician | 7133 Weavers Pl, North Las Vegas, NV 89084 | 2018-03-21 |
| 1649771841 | May Ruth Byrd | Chore Provider | 6638 Cinnabar Coast Lane, Las Vegas, NV 89084 | 2018-02-22 |
| 1841718541 | Tori Tobin | Occupational Therapist | 2550 Nature Park Drive, Ste. 180, North Las Vegas, NV 89084 | 2017-09-01 |
| 1568989986 | Necole Ealy | Day Training/Habilitation Specialist | 6905 Auklet Ln, N Las Vegas, NV 89084 | 2017-08-25 |
| 1871031906 | Mvp Primary Care LLC | Registered Nurse | 6935-104 Aliante Parkway, #509, North Las Vegas, NV 89084 | 2017-02-09 |
| 1679932743 | Melissa Brown | Occupational Therapist | 29 Chastain Park Drive, North Las Vegas, NV 89084 | 2016-02-18 |
| 1598163636 | Taylor Briana Mitchell | Behavioral Analyst | 6929 Puetollano Drive, North Las Vegas, NV 89084 | 2014-12-05 |
| 1801229240 | Faith Thomas | Behavioral Analyst | 634 W Lava Beds Wy, North Las Vegas, NV 89084 | 2013-08-20 |
| 1497028401 | Cornell Williams | Rehabilitation Practitioner | 6616 Lavender Lilly Ln #1, N. Las Vegas, NV 89084 | 2012-02-22 |
| Find all providers in zip 89084 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881219699 | Zachary Dan Soard Dmd Ltf | Clinic/Center | 1306 W Craig Rd Ste H, North Las Vegas, NV 89032-0215 | 2020-06-08 |
| 1427214840 | David & David LLC | Clinic/Center | 6885 Aliante Pkwy, Suite 111, North Las Vegas, NV 89084 | 2008-08-05 |
| 1811153240 | Tingfafa LLC | Clinic/Center | 2175 E Cheyenne Ave, Suite 100, North Las Vegas, NV 89030 | 2008-08-05 |
| 1023672169 | Ji In Kim Dds, Professional Corporation | Clinic/Center | 150 E Centennial Pkwy Ste 113, North Las Vegas, NV 89084-1338 | 2019-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099584 | Anthony Q. Ngo, Dmd, Prossional Corporation | Clinic/Center | 1975 W Craig Rd Ste 103, N Las Vegas, NV 89032-0332 | 2020-09-25 |
| 1275143745 | Smile Dental | Clinic/Center | 1720 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89012-4896 | 2020-08-08 |
| 1619585353 | Green Valley Dentistry | Clinic/Center | 11 S Stephanie St Ste 100, Henderson, NV 89012-6034 | 2020-07-20 |
| 1164050365 | Monica Ponce, Dds, A Professional Corporation | Clinic/Center | 9450 West Russell Road Suite 102, Las Vegas, NV 89148-8914 | 2020-04-01 |
| 1659903946 | Suzan Fu Dds Ltd A Nevada Corp | Clinic/Center | 1958 Village Center Cir Ste 4, Las Vegas, NV 89134-6240 | 2020-02-05 |
| 1578195988 | Munaweera Dentistry PC | Clinic/Center | 500 Damonte Ranch Pkwy Ste 909, Reno, NV 89521-5911 | 2020-02-05 |
| 1477183101 | Ameritina Dental Eastern LLC | Clinic/Center | 581 N Eastern Ave, Las Vegas, NV 89101-3422 | 2020-01-22 |
| 1285285569 | Gurpreet Khairah Dds Pllc | Clinic/Center | 2900 E Desert Inn Rd Ste 109, Las Vegas, NV 89121-3619 | 2019-09-26 |
| 1770131534 | Robert C. Riegel, D.d.s Apc | Clinic/Center | 3663 E Sunset Rd Ste 507, Las Vegas, NV 89120-3299 | 2019-08-26 |
| 1376008193 | Life Dentistry - Dr Duff, Pllc | Clinic/Center | 10670 Dean Martin Dr., Suite 100, Las Vegas, NV 89141 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89084 |
Please comment or provide details below to improve the information on YVES PHAM DMD PLLC.
| 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.