Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PHUNG K PHAM DDS INC
Active
Organization
PHUNG K PHAM DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHUNG KIM PHAM (CEO)
(559) 227-5239
Entity
Organization
Contact information
Practice address
1727 N FRESNO ST, FRESNO, CA 93703-3031
(559) 227-5239
(559) 227-9262
Mailing address
1727 N FRESNO ST, FRESNO, CA 93703-3031
(559) 227-5239
(559) 227-9262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52453
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D52453
RENDERING PROVIDER NUMBER
CA
01
—
G94117-01
BILLING PROVIDER NUMBER
CA
Enumeration date
01/07/2007
Last updated
04/28/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up