Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962072199 Individual Practitioner Female Practitioner

Dr. Thu Trang Pham , DMD

Dentist - General Practice • Perry, FL

Professional Overview & Biography Verified Profile Summary

Dr. Thu Trang Pham, DMD is a registered healthcare professional specializing in Dentist - General Practice in Perry, FL. Practice services are available at 1204 N CENTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1204 N Center St

Perry, FL 323472038

Telephone 6782245423
Associated Practice Facility / Clinic
🏢 Dr. Joseph W. Fuller Facility NPI 1407990609

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Perry, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Perry, FL (7473 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: 2022-03-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN26434

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License GA DN122379

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

1 Associated Practitioners
Dr. Joesph Fuller , DDS

Dentist - General Practice

NPI 1548344757

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 04, 2022

Registered at 1204 N CENTER ST, PERRY, FL 323472038 (Tel: 6782245423)

📍
Updated Business Mailing Address March 04, 2022

Registered at 1204 N CENTER ST, PERRY, FL 323472038

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2022

Dentist (License #DN26434 in FL)

NPI Profile Active June 29, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2021

Registered at 3985 STEVE REYNOLDS BLVD STE 101, NORCROSS, GA 300933035 (Tel: 6782245423)

📍
Updated Business Mailing Address June 29, 2021

Registered at 3985 STEVE REYNOLDS BLVD STE 101, NORCROSS, GA 300933035 (Tel: 6782245423)

👤
Provider Name / Credentials Updated June 29, 2021

Recorded as THU TRANG PHAM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2021

Dentist (License #DN122379 in GA)

🟢
Initial NPI Registration & Enumeration June 29, 2021

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: 1962072199
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2021
Last Update: March 04, 2022
Sole Proprietor: No

Mailing Address

1204 N Center St

Perry, FL 323472038

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.