DR. PETER CONG PHAM (NPI# 1356447304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356447304 |
| Entity Type | Individual |
| Full Name | DR. PETER CONG PHAM |
| Credential | DDS |
| Practice Address |
1409 13th St Altoona PA 16601-3409 |
| Practice Telephone | 8149446611 |
| Practice Fax Number | 8149449570 |
| Mailing Telephone | 8149446611 |
| Mailing Fax Number | 8149449570 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2011-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS036673 | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720420250 | Peter Nhat Vinh Pham | Dentist | 41 Weathering Crk, San Antonio, TX 78238-2409 | 2013-07-25 |
| 1063708576 | Peter Pham | Hospitalist | 29 Silver Brook Dr, Bridgeton, NJ 08302-9407 | 2011-06-22 |
| 1194022111 | Peter H Pham | Dentist | 18220 Yorba Linda Blvd Ste 305, Yorba Linda, CA 92886-4032 | 2011-02-28 |
| 1487795530 | Peter Ngoc Pham | Dentist | 150 N Jackson Ave Ste 109, San Jose, CA 95116-1908 | 2007-02-10 |
| 1114084597 | Peter Pham | Dentist | 1257 Brockton Ave Unit 101, Los Angeles, CA 90025-7724 | 2007-01-03 |
| 1548869407 | Peter Nguyen Pham | Dentist | 2288 Daniels St, Manteca, CA 95337-6706 | 2020-10-21 |
| 1720604952 | Peter Pham | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-06-23 |
| 1104386853 | Peter Pham | Internal Medicine | 1000 Blythe Blvd, Charlotte, NC 28203-5871 | 2019-03-20 |
| 1366908543 | Peter Pham | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2019-02-13 |
| 1447734587 | Peter Hong Phuc Pham | Behavior Technician | 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598-2538 | 2018-09-24 |
| Street Address |
1409 13TH ST |
| City | ALTOONA |
| State | PA |
| Zip Code | 16601-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295031680 | Peter C. Pham, Dds, P.C. | Dentist | 1409 13th St, Altoona, PA 16601-3409 | 2011-02-01 |
| 1831213008 | Rudy Emilio Marcelli | Dentist | 1409 13th St, Altoona, PA 16601-3409 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205456498 | Divya Venkata Tumuluru | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue-suite F2 Altoona Family Physicians, Altoona, PA 16601 | 2020-04-17 |
| 1114574787 | Neil Pietrolungo | Counselor | 1216 11th Avenue, St. 215, Altoona, PA 16601 | 2019-08-19 |
| 1326509621 | Lucas L Warton | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians, 501 Howard Ave, Ste F2, Altoona, PA 16601 | 2019-03-28 |
| 1669932141 | Edmiston Physical Therapy Co | Physical Therapist | 2927 Beale Ave. Suite E101, Altoona, PA 16601 | 2019-03-21 |
| 1871052407 | Ji Won Lee | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2019-03-13 |
| 1982199774 | Shikha Salhotra | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2018-06-25 |
| 1679063655 | Sarah Ann Bier | Registered Nurse | 2900 Plank Rd, Altoona, PA 16601 | 2018-05-15 |
| 1306334073 | Mohammad Omar Bukhari | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2018-04-27 |
| 1730676164 | Kathleen Elizabeth Woods | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Suite F2, Altoona Family Physicians, Altoona, PA 16601 | 2018-04-20 |
| 1386082485 | Zachary Charles Haulman | Physical Medicine & Rehabilitation | 2900 Beale Ave Ste 110, Altoona, PA 16601 | 2013-06-11 |
| Find all providers in zip 16601 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312955 | Daniel Van Roekel | Dentist | 950 28th Ave Sw Ste 2, Altoona, IA 50009-3940 | 2020-07-06 |
| 1538673207 | Dustin Mark Pfundheller | Dentist | 1115 Sweetwater Close, Altoona, WI 54720-2313 | 2017-11-16 |
| 1528597127 | Brittany Huiras | Dentist | 1885 Whistling Straits Dr Apt 20, Altoona, WI 54720-2255 | 2017-06-07 |
| 1326417593 | Jennifer Boyles | Dentist | 2575 1st Ave S, Altoona, IA 50009 | 2015-09-17 |
| 1013179068 | Haley Ann Hawk | Dentist | 1500 4th Ave, Altoona, PA 16602-3616 | 2008-07-01 |
| 1013098599 | Michael Eric Hoover | Dentist | 3010 E Pleasant Valley Blvd, Altoona, PA 16601-8933 | 2006-10-18 |
| 1871691253 | William Lee Good | Dentist | 4329 6th Avenue, Altoona, PA 16602 | 2006-09-20 |
| 1033211107 | Charles George Hinterberger Jr. | Dentist | 125 East Pleasant Valley Blvd, Altoona, PA 16602-5544 | 2006-09-01 |
| 1134136021 | Ralph Michael Marasco | Dentist | 530 E Walton Ave, Altoona, PA 16602 | 2006-08-02 |
| 1528092715 | Donald Joseph Betar Jr. | Dentist | 2217 7th Ave, Altoona, PA 16602-2243 | 2006-07-11 |
| Find all providers in ALTOONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.