# MICHAEL TUNG PHAM, DMD, PC

> 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
- **Other names:** Eastern Hills Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871822486
- **Authorized official:** DR. MICHAEL TUNG PHAM DMD (DENTIST/PRESIDENT/OWNER)
- **Authorized official phone:** (702) 262-5693

## Contact information

- **Practice address:** 5905 S EASTERN AVE, SUITE 112, LAS VEGAS, NV 89119-3129
- **Practice address phone:** (702) 262-5693
- **Mailing address:** 5905 S EASTERN AVE, SUITE 112, LAS VEGAS, NV 89119-3129
- **Mailing address phone:** (702) 262-5693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4769 | NV | Yes |

## Other

- **Enumeration date:** 12/10/2009
- **Last updated:** 12/10/2009