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Active NPI 1619170818 Individual Practitioner Male Practitioner

Dr. Tuan Duc Pham , DDS

Dentist - General Practice • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Tuan Pham, DDS is a registered healthcare professional specializing in Dentist - General Practice in Boise, ID. Practice services are available at 7669 W EMERALD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7669 W Emerald St

Boise, ID 837049018

Telephone 9498310051
Fax 2084884477
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
142 Specialists

Practicing in Boise, ID (781 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: 2024-02-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID 4465

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 CA 48663

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
NPI 1902008659

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 14, 2022

Registered at 7669 W EMERALD ST, BOISE, ID 837049018 (Tel: 9498310051)

📍
Updated Business Mailing Address February 14, 2022

Registered at 7669 W EMERALD ST, BOISE, ID 837049018 (Tel: 2089947426)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 24541 PACIFIC PARK DR STE 240, ALISO VIEJO, CA 926563050 (Tel: 9498310051)

📍
Updated Business Mailing Address July 08, 2007

Registered at 24541 PACIFIC PARK DR STE 240, ALISO VIEJO, CA 926563050 (Tel: 9498310051)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TUAN PHAM, DDS

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

Dentist (License #48663 in CA)

🟢
Initial NPI Registration & Enumeration June 06, 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: 1619170818
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2007
Last Update: February 28, 2024
Sole Proprietor: Yes

Mailing Address

7669 W Emerald St

Boise, ID 837049018

Phone: 2089947426

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.