JACQUELINE TUYEN PHAM (NPI# 1609096049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609096049 |
| Entity Type | Individual |
| Full Name | JACQUELINE TUYEN PHAM |
| Credential | DMD |
| Practice Address |
4649 Buford Hwy Chamblee GA 30341 |
| Practice Telephone | 7704521400 |
| Mailing Telephone | 7704521400 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN0112567 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DORAL | 677H | 01 |
| GA | PEACH STATE | 101189 | 01 |
| GA | 00787333 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913410 | Jacqueline Khanhlinh Pham | Student in an Organized Health Care Education/Training Program | 10474 La Sombra Ave, Fountain Valley, CA 92708-5211 | 2020-08-17 |
| 1801081120 | Jacqueline T Pham | Pharmacist | 5000 South Fifth Ave, Building 200, Room B 128 F, Hines, IL 60141 | 2007-09-10 |
| 1700909439 | Jacqueline L Pham | Dentist | 1906 Aborn Rd, San Jose, CA 95121-1581 | 2007-04-09 |
| 1114534542 | Jacqueline Pham | Nurse Practitioner | 25272 Marguerite Pkwy, Mission Viejo, CA 92692-2901 | 2020-09-29 |
| 1508263187 | Jacqueline Robichaud Pham | Pharmacist | 505 City Pkwy W, Pharmacy Management, Orange, CA 92868-2924 | 2014-11-26 |
| 1922360262 | Jacqueline O Pham | Pharmacist | 8155 Sw Hall Blvd, Beaverton, OR 97008-6416 | 2012-06-12 |
| Street Address |
4649 BUFORD HWY |
| City | CHAMBLEE |
| State | GA |
| Zip Code | 30341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207344 | Rabun Marie Robertson | Occupational Therapist | 2320 Perimeter Park Drive, Atlanta, GA 30341 | 2018-03-01 |
| 1568986313 | Charles Edge IIi | Nurse Practitioner | 4770 Buford Highway, Atlanta, GA 30341 | 2017-08-02 |
| 1366971277 | Park Ridge Healthcare and Physical Medicine LLC | Nurse Practitioner | 2896 Chamblee Tucker Road, Suite 4, Atlanta, GA 30341 | 2017-06-06 |
| 1437502937 | Chara Mcgill | Counselor | 13207 Jefferson Circle N, Chamblee, GA 30341 | 2016-07-20 |
| 1982063913 | Stepping Stone of Atlanta | Community/Behavioral Health | 3705 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2016-02-18 |
| 1013317577 | Marne Day | Counselor | 3720 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2014-09-02 |
| 1013343680 | Keelan Walker | Speech-Language Pathologist | 4961 Buford Highway Suite 201, Suite 201, Chamblee, GA 30341 | 2013-09-16 |
| 1578901955 | Promonitor LLC | Electrodiagnostic Medicine | 3300 Northwest Expy Bldg 7, Atlanta, GA 30341 | 2013-06-07 |
| 1639415359 | Lawanda B Cooke | Health Educator | 5280 Peachtree Ind Blvd, Chamblee, GA 30341 | 2012-12-28 |
| 1457602773 | Arthur Macrae Wendel | Family Medicine | 4770 Buford Hwy Ms F60, Atlanta, GA 30341 | 2012-09-26 |
| Find all providers in zip 30341 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346785029 | Dentists of Chamblee, PC | Dentist | 5001 Peachtree Blvd, Suite 510, Chamblee, GA 30341-2719 | 2017-01-04 |
| 1548383839 | Cheng Gao | Dentist | 4897 Buford Hwy Ste 122, Chamblee, GA 30341-3670 | 2007-04-09 |
| 1538286133 | Yi-tsu Cheng | Dentist | 5008 Buford Highway, Suite B, Chamblee, GA 30341 | 2007-03-26 |
| 1871627711 | Carol Kai-hua Chang | Dentist | 3628 Chamblee Tucker Rd, Chamblee, GA 30341-4418 | 2007-03-15 |
| 1689764896 | Henry J. Hudson and Associates | Dentist | 3640 Chamblee Tucker Rd, Chamblee, GA 30341-4418 | 2006-10-16 |
| 1396767281 | Kyoon Chung Begaye | Dentist | 2502 Chamblee Tucker Rd, Suite 101, Chamblee, GA 30341-3529 | 2006-07-23 |
| 1851333868 | Pat Nguyen | Dentist | 2367 Shallowford Ter, Chamblee, GA 30341-3705 | 2006-06-12 |
| 1649409848 | Pat Nguyen, Dds, PC | Dentist | 2367 Shallowford Ter, Chamblee, GA 30341-3705 | 2009-07-08 |
| 1215144993 | Michael W. Yarbrough | Dentist | 3640 Chamblee Tucker Rd, Chamblee, GA 30341-4418 | 2007-05-16 |
| 1194932855 | Walter M. Grayson Jr. | Dentist | 3640 Chamblee Tucker Rd, Chamblee, GA 30341-4418 | 2007-05-16 |
| Find all providers in CHAMBLEE | ||||
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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.