Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609096049 Individual Practitioner Female Practitioner

Dr. Jacqueline Tuyen Pham , DMD

Dentist - General Practice • Chamblee, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jacqueline Pham, DMD is a registered healthcare professional specializing in Dentist - General Practice in Chamblee, GA. Practice services are available at 4649 BUFORD HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4649 Buford Hwy

Chamblee, GA 30341

Telephone 7704521400
Associated Practice Facility / Clinic
🏢 South East Dental Facility NPI 1427277458

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chamblee, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
14 Specialists

Practicing in Chamblee, GA (3302 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 GA DN0112567

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00787333 (GA)
Commercial Insurance / Payer ID Doral
677H (GA)
Commercial Insurance / Payer ID Peach State
101189 (GA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4649 BUFORD HWY, CHAMBLEE, GA 30341 (Tel: 7704521400)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4649 BUFORD HWY, CHAMBLEE, GA 30341 (Tel: 7704521400)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACQUELINE PHAM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN0112567 in GA)

🟢
Initial NPI Registration & Enumeration April 26, 2007

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: 1609096049
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

4649 Buford Hwy

Chamblee, GA 30341

Phone: 7704521400

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.