Individual
JACQUELINE TUYEN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4649 BUFORD HWY, CHAMBLEE, GA 30341
(770) 452-1400
Mailing address
4649 BUFORD HWY, CHAMBLEE, GA 30341
(770) 452-1400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0112567
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00787333
—
GA
01
—
101189
PEACH STATE
GA
01
—
677H
DORAL
GA
Enumeration date
04/26/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us