Organization · Type 2 NPI

Keith H Tam DDS Inc

Pediatric Dentistry · Newport Beach, CA

NPI number 1497009831 Active

Practice location

2674 San Miguel Dr
Newport Beach, CA 92660-5437

Call (949) 478-6628 Map

Mailing address

2674 San Miguel Dr Ste C
Newport Beach, CA 92660-5437

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	57293 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Other pediatric dentistry providers in Newport Beach

Surger Dental CorporationPediatric Dentistry Newport Beach, CA NPI 1457711699

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NPI record

NPI: 1497009831
Entity type: Organization (Type 2)
Issued: Nov 7, 2012
Last updated: Jan 27, 2022
Status: Active
Subpart: Yes of Keith Tam DDS Professional Corp

Other names

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Lake Forest Pediatric Dentistry · doing business as
Lake Forest Pediatric Dentistry · doing business as

Authorized official

Dr. Keith H Tam, DDS
Owner, DDS
(949) 322-9778

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497009831

Keith H Tam DDS Inc's National Provider Identifier is 1497009831, issued on Nov 7, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Newport Beach, CA. The record was last updated on Jan 27, 2022.