Individual provider · Type 1 NPI

Derrick Anh Vo Pham, DENTAL STUDENT

Dentist · Oceanside, CA

NPI number 1023632676 Active

Practice location

92055 14th Street
Oceanside, CA 92058

Mailing address

4270 Kirkcaldy Dr
San Diego, CA 92111-3621

Other practice locations

  • 714 Tiverton Ave, Los Angeles, CA 90095-8361 · (310) 825-9789
  • Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 · (760) 725-3213

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000X106380 (CA)

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 requiremen…

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About NPI 1023632676

Derrick Anh Vo Pham, DENTAL STUDENT's National Provider Identifier is 1023632676, issued on May 29, 2020. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Oceanside, CA. The record was last updated on Aug 30, 2021.