Individual provider · Type 1 NPI

Taylor Pham

Dentist · East Peoria, IL

NPI number 1124689138 Active

Practice location

368 W Washington St
East Peoria, IL 61611-2036

Call (309) 694-4444 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019032199 (IL)

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 1124689138

Taylor Pham's National Provider Identifier is 1124689138, issued on Jun 21, 2019. The primary taxonomy on file is Dentist (122300000X), and the practice location is in East Peoria, IL. The record was last updated on Jun 21, 2019.