Nhat Pham, DDS
Dentist, General Practice in Mountlake Terrace, WA. Individual provider (NPI-1).
NPI number1619854528
StatusActive
Last updated in NPPESAug 20, 2025
Details
- NPI
- 1619854528
- Entity type
- Individual (NPI-1)
- Name
- Nhat Pham
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 20, 2025
- Certification date
- Aug 20, 2025
- Last updated
- Aug 20, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 70028159 | WA | Yes |
Practice location
4716 212th St Sw Apt 102Mountlake Terrace, WA 98043-5912
Phone 714-422-9073
Mailing address
4716 212th St Sw Apt 102Mountlake Terrace, WA 98043-5912
Phone 714-422-9073
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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