Individual provider · Type 1 NPI

Andrew Quang Pham, DDS

General Practice Dentistry · Fairfax, VA

NPI number 1366996092 Active

Practice location

3930 Walnut St Ste 210
Fairfax, VA 22030-4738

Mailing address

10779 Crest St
Fairfax, VA 22030-5171

Other practice locations

  • 24565 Dulles Landing Dr Unit 190, Dulles, VA 20166-2714 · (703) 457-8736

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X31912 (TX)
General Practice Dentistry Primary 1223G0001X0401415281 (VA)

General Practice Dentistry: 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.

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About NPI 1366996092

Andrew Quang Pham, DDS's National Provider Identifier is 1366996092, issued on Aug 11, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fairfax, VA. The record was last updated on Mar 26, 2021.