Individual provider · Type 1 NPI

Stacy Mai Pham, DDS

Dentist · Riverside, CA

NPI number 1063420255 Active

Practice location

4000 Tyler St
Riverside, CA 92503

Fax (951) 687-7448

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X39461 (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 1063420255

Stacy Mai Pham, DDS's National Provider Identifier is 1063420255, issued on Aug 3, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Riverside, CA. The record was last updated on Jan 27, 2020.