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Active NPI 1245607837 Individual Practitioner Male Practitioner

Dr. Michael Pham , DDS

Dentist - Endodontics • Fairfield, CA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Pham, DDS is a registered healthcare professional specializing in Dentist - Endodontics in Fairfield, CA. Practice services are available at 2801 WATERMAN BLVD STE 290 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2801 Waterman Blvd Ste 290

Fairfield, CA 945342972

Telephone 7074255666
Associated Practice Facility / Clinic
🏢 Michael Pham, Dds, Ms, Inc Facility NPI 1427702836

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Fairfield, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Fairfield, CA (1060 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-07
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License CA 64987

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist

NUCC Taxonomy Code: 122300000X

State License MN D14185

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Frank Casanova , DDS, MSCD

Dentist - Endodontics

NPI 1487657391

Doctor of Dental Surgery, MSCD

Dr. Andrew Lee , DDS

Dentist - Endodontics

NPI 1700297819

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location February 28, 2022

Registered at 2801 WATERMAN BLVD STE 290, FAIRFIELD, CA 945342972 (Tel: 7077667668)

📍
Updated Business Mailing Address February 28, 2022

Registered at 2801 WATERMAN BLVD STE 290, FAIRFIELD, CA 945342972

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2022

Dentist (License #64987 in CA)

📍
Updated Practice Location September 06, 2021

Registered at 30 W EL ROSE DR, PETALUMA, CA 949527525 (Tel: 7077667668)

📍
Updated Business Mailing Address September 06, 2021

Registered at 30 W EL ROSE DR, PETALUMA, CA 949527525

📍
Updated Practice Location July 03, 2019

Registered at 515 DELAWARE ST. SE, MOOS TOWER, MINNEAPOLIS, MN 55455 (Tel: 6126252495)

📍
Updated Business Mailing Address July 03, 2019

Registered at 515 DELAWARE ST. SE, MOOS TOWER, MINNEAPOLIS, MN 55455

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2019

Dentist (License #D14185 in MN)

NPI Profile Active August 31, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2015

Registered at 554 KEILY STREET, BUREAU M AND S CENTRALIZED CRED AND PRIV DIR, JACKSONVILLE, FL 32212 (Tel: 7579530000)

📍
Updated Business Mailing Address August 31, 2015

Registered at 554 KEILY STREET, BUREAU M AND S CENTRALIZED CRED AND PRIV DIR, JACKSONVILLE, FL 32212 (Tel: 7579530000)

👤
Provider Name / Credentials Updated August 31, 2015

Recorded as MICHAEL PHAM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2015

Dentist (License #64987 in CA)

🟢
Initial NPI Registration & Enumeration August 31, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245607837
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2015
Last Update: February 07, 2023
Sole Proprietor: Yes

Mailing Address

2801 Waterman Blvd Ste 290

Fairfield, CA 945342972

Phone: 7074255666

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.