Individual provider · Type 1 NPI

Matthew Pham

Oral and Maxillofacial Surgery (Dentist) · West Columbia, SC

NPI number 1700263779 Active

Practice location

3573 Sunset Blvd
West Columbia, SC 29169-3043

Mailing address

101 Manning Dr, 149 Brauer Hall,
Chapel Hill, NC 27514

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X10002 (SC)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1700263779

Matthew Pham's National Provider Identifier is 1700263779, issued on Apr 29, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in West Columbia, SC. The record was last updated on Nov 22, 2024.