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Active NPI 1366917353 Individual Practitioner Female Practitioner

Dr. Quynh Vo Bao Pham , DDS

Dentist - General Practice • La Mesa, CA

Professional Overview & Biography Verified Profile Summary

Dr. Quynh Pham, DDS is a registered healthcare professional specializing in Dentist - General Practice in La Mesa, CA. Practice services are available at 3767 AVOCADO BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3767 Avocado Blvd

La Mesa, CA 919417301

Telephone 6197292323
Associated Practice Facility / Clinic
🏢 Cheryl Tran Dds Inc. Facility NPI 1396128658

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in La Mesa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
73 Specialists

Practicing in La Mesa, CA (18734 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA DDS102880

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.

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1326524364

Doctor of Dental Medicine

Dr. Lina Al-Saadi , DMD

Dentist - General Practice

NPI 1326856584

Doctor of Dental Medicine

NPI 1447182092
Dr. Ji Won Choe , DDS

Dentist - General Practice

NPI 1750061107

Doctor of Dental Surgery

NPI 1831645894

Doctor of Dental Surgery

NPI 1851915789

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2018

Registered at 3767 AVOCADO BLVD, LA MESA, CA 919417301 (Tel: 6197292323)

📍
Updated Business Mailing Address October 05, 2018

Registered at 10812 PACIFIC CANYON WAY, SAN DIEGO, CA 921214337 (Tel: 3107205024)

👤
Provider Name / Credentials Updated October 05, 2018

Recorded as QUYNH PHAM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2018

Dentist (License #DDS102880 in CA)

🟢
Initial NPI Registration & Enumeration October 05, 2018

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: 1366917353
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2018
Last Update: October 05, 2018
Sole Proprietor: No

Mailing Address

10812 Pacific Canyon Way

San Diego, CA 921214337

Phone: 3107205024

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.