KRYSTAL PHAM DDS, INC (NPI# 1619401957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619401957 |
| Entity Type | Organization |
| Organization Name | KRYSTAL PHAM DDS, INC |
| Other Organization Name | OCEANIC DENTAL |
| Practice Address |
17991 Euclid St Fountain Valley CA 92708-5409 |
| Practice Telephone | 7143780085 |
| Mailing Telephone | 7143780085 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |
| Authorized Official Name | KRYTSTAL H PHAM (PRESIDENT) |
| Authorized Official Telephone | 7143780085 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 57473 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Oceanic Dental | Doing Business As Name - Organization |
| Street Address |
17991 EUCLID ST |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-5409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780120451 | Zumna Mariam Qazi | Dentist | 17357 San Luis St Apt 1, Fountain Valley, CA 92708-8700 | 2017-01-18 |
| 1093269136 | Michael Cao Tran | Dentist | 11190 Bellflower Ave, Fountain Valley, CA 92708-1759 | 2016-08-05 |
| 1508221128 | Tong & Nguyen Dds Inc | Dentist | 9520 Talbert Ave, Fountain Valley, CA 92708-5145 | 2015-12-24 |
| 1902271802 | Gregory E. Le, Dmd, Inc. | Dentist | 11160 Warner Ave Ste 303, Fountain Valley, CA 92708 | 2015-12-03 |
| 1861827198 | Mary-ann Ibrahim Khamis | Dentist | 9919 Merced River Avenue, Fountain Valley, CA 92708 | 2013-09-05 |
| 1366794216 | James Cheng-pang Chiu | Dentist | 17130 Magnolia St, Fountain Valley, CA 92708 | 2012-10-02 |
| 1356574511 | Henry-vu Thuy Nguyen | Dentist | 17904 Point Loma St, Fountain Valley, CA 92708-5043 | 2009-09-03 |
| 1891931762 | Bennie Van Pham | Dentist | 18426 Brookhurst St Ste 101, Fountain Valley, CA 92708-6777 | 2008-12-26 |
| 1730337379 | Rofael Dental Corp. | Dentist | 17150 Euclid St Ste 311, Fountain Valley, CA 92708-4092 | 2008-09-08 |
| 1457517963 | Tammy Tran | Dentist | 11100 Warner Ave Ste 312, Fountain Valley, CA 92708-7512 | 2008-08-04 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
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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.