JENNIFER PHAM


Address: 42550 Stires Dr, Chantilly, VA 20152-6655
Phone: 7036295088

JENNIFER PHAM (NPI# 1801193982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801193982
Entity Type Individual
Full Name JENNIFER PHAM
Credential D.M.D, M.S
Practice Address 42550 Stires Dr
Chantilly
VA 20152-6655
Practice Telephone 7036295088
Enumeration Date 2011-02-25
Last Update Date 2011-02-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
0401412994 VA Dental Providers

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1437784717 Jennifer Pham Optometrist 8520 N Beach St, Fort Worth, TX 76244-4918 2020-03-07
1235629932 Jennifer Pham Student in an Organized Health Care Education/Training Program 1514 Jefferson Hwy, Jefferson, LA 70121-2429 2018-05-17
1720505498 Jennifer Pham Pharmacist 565 W 235th St, Bronx, NY 10463-1650 2017-08-24
1457880569 Jennifer Pham Dentist 1300 N Ventura Rd Ste 2, Oxnard, CA 93030 2017-06-12
1104369123 Jennifer Pham Optometrist 1899 W March Ln, Stockton, CA 95207-6402 2016-11-22

Office Location

Street Address 42550 STIRES DR
City CHANTILLY
State VA
Zip Code 20152-6655

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528669751 Joy Chirnside Mclaughlin Physical Therapist 26097 Iverson Drive, Chantilly, VA 20152 2020-11-04
1972132090 Alissa S Rexo Specialist 25251 Beach Place, Chantilly, VA 20152 2020-04-02
1982178620 South Riding Modern Dentistry, PC Dentist 25421 Lizzio Center Dr., Suite 190, Chantilly, VA 20152 2019-01-16
1154897627 Nicole Hong Dentist 25273 Nesting Sq, Chantilly, VA 20152 2018-10-22
1437586369 Chiron Physical Therapy LLC Physical Therapist 48130 Amberwood Plaza, Suite 100, South Riding, VA 20152 2013-10-10
1376772178 Gloria Seon-young Kim Dentist 24805 Pinebrook Rd # 311, Chantilly, VA 20152 2009-07-14
1992955777 Sohaib S. Elsayed Family Medicine 25055 Riding Plz Ste 220, South Riding, VA 20152 2008-09-29
1538328067 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 24795 Pinebrook Rd, South Riding, VA 20152 2008-06-09
1790970556 Irfan Galaria Plastic Surgery 24805 Pinebrook Road, Suite #154, Chantilly, VA 20152 2007-09-13
1316150881 Dina Gottesman Pediatrics 25055 Riding Plaza, Suite 150, South Riding, VA 20152 2007-05-08
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477160547 Modaresi & Avin Dds Pllc Dentist 24805 Pinebrook Rd Ste 112, Chantilly, VA 20152-4127 2020-09-23
1689296485 Fizza Gull Dentist 44151 Eastgate View Dr, Chantilly, VA 20152-1338 2020-05-14
1982225215 Smile Daily LLC Dentist 4229 Lafayette Center Dr Ste 1125b-2, Chantilly, VA 20151-1261 2020-04-28
1801442991 Ivan Lopez Sabarre Dentist 4080 Lafayette Center Dr Ste 160-b, Chantilly, VA 20151-1247 2019-08-14
1871056689 Chantilly Dental Arts Center Pllc Dentist 13655 Lee Jackson Memorial Hwy, Chantilly, VA 20151-3568 2019-04-09
1700212511 Grace Dental of Virginia, LLC Dentist 4530 Walney Rd, Suite 102, Chantilly, VA 20151-2284 2013-09-25
1417224056 Neibauer Dental Care, PC Dentist 25401 Eastern Marketplace Plz Ste 165, Chantilly, VA 20152-5783 2011-11-28
1235436908 Trusmiles Dental, Plc Dentist 4501 Daly Dr Ste 105, Chantilly, VA 20151-3707 2011-02-16
1982835641 Subha C Yerabollu Dentist 24805 Pinebrook Rd # 316, Chantilly, VA 20152-4126 2009-07-29
1376772178 Gloria Seon-young Kim Dentist 24805 Pinebrook Rd # 311, Chantilly, VA 20152 2009-07-14
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Competitor

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City CHANTILLY
Zip Code 20152

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Dataset Information

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.

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