Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407816903 Individual Practitioner Male Practitioner

Dr. Thach Pham , DMD

Dentist • Lakeland, FL

Professional Overview & Biography Verified Profile Summary

Dr. Thach Pham, DMD is a registered healthcare professional specializing in Dentist in Lakeland, FL. Practice services are available at 1417 LAKELAND HILLS BLVD STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1417 Lakeland Hills Blvd Ste 101

Lakeland, FL 338053200

Telephone 8662348534
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lakeland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
62 Specialists

Practicing in Lakeland, FL (6414 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: 2022-01-05
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN16419

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.

Secondary Practice Locations

950 County Road 17a W

Avon Park, FL 338252164

Phone: 8662348534

Practice Associates & Co-Workers

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

40 Associated Practitioners
Roseline Blanc , APRN-C

Nurse Practitioner - Family

NPI 1013431873

APRNC

Dr. Ria Sajnani , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1013536606

Doctor of Podiatric Medicine

Dr. Syed Qadri , MD

Obstetrics & Gynecology

NPI 1053493171

Doctor of Medicine (M.D.)

NPI 1063443612

Doctor of Medicine (M.D.)

NPI 1083097406

Doctor of Medicine (M.D.)

Ingrid Atiles

Psychologist - Clinical

NPI 1093096596

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 05, 2022

Registered at 1417 LAKELAND HILLS BLVD STE 101, LAKELAND, FL 338053200 (Tel: 8662348534)

📍
Updated Business Mailing Address January 05, 2022

Registered at 47 5TH ST NW, WINTER HAVEN, FL 338814672 (Tel: 8662348534)

NPI Profile Active November 18, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 18, 2011

Registered at 3615 S FLORIDA AVE, SUITE 1230, LAKELAND, FL 338034876 (Tel: 8637017404)

📍
Updated Business Mailing Address November 18, 2011

Registered at 3615 S FLORIDA AVE, LAKELAND, FL 338034876 (Tel: 8637017404)

👤
Provider Name / Credentials Updated November 18, 2011

Recorded as THACH PHAM, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2011

Dentist (License #DN16419 in FL)

🟢
Initial NPI Registration & Enumeration March 27, 2006

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: 1407816903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2006
Last Update: January 05, 2022
Sole Proprietor: No

Mailing Address

47 5th St Nw

Winter Haven, FL 338814672

Phone: 8662348534

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.