# DIEP PHAM DDS, INC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIEP PHAM DDS, INC
- **Other names:** Gulf Coast Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770840340
- **Legal business name:** DIEP PHAM DDS, INC
- **Authorized official:** DIEP PHAM (PRESIDENT)
- **Authorized official phone:** (281) 208-2016

## Contact information

- **Practice address:** 309 GARLAND DR, LAKE JACKSON, TX 77566-6238
- **Practice address phone:** (979) 480-9300
- **Mailing address:** PO BOX 2086, ALIEF, TX 77411-2086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 17862 | TX | Yes |

## Other

- **Enumeration date:** 04/19/2012
- **Last updated:** 04/19/2012