Individual provider · Type 1 NPI

Thien Quang Pham, DDS

Dentist · Blaine, MN

NPI number 1104273085 Active

Practice location

12904 Central Ave NE
Blaine, MN 55434-4147

Call (651) 621-4515 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD13682 (MN)

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 1104273085

Thien Quang Pham, DDS's National Provider Identifier is 1104273085, issued on May 19, 2016. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Blaine, MN. The record was last updated on Sep 29, 2026.