Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013479518 Individual Practitioner Female Practitioner

Dr. Pauline Pham , DDS

Dentist • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Pauline Pham, DDS is a registered healthcare professional specializing in Dentist in Chicago, IL. Practice services are available at 801 S PAULINA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

801 S Paulina St

Chicago, IL 606127210

Telephone 3123551222
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
1207 Specialists

Practicing in Chicago, IL (4751 Statewide)

Telehealth Adoption Rate
0.1% 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: 2025-07-09
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 018.002298

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License IL 018.002298

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Idfpr
018.002298 (IL)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Kenneth Gehrke , DDS

Dentist - General Practice

NPI 1013120203

Doctor of Dental Surgery

Dr. Nathaniel Dancykier , DDS

Dentist - General Practice

NPI 1013383363

Doctor of Dental Surgery

NPI 1013805670

Doctor of Dental Medicine

NPI 1023430584

Doctor of Dental Surgery

Andrea Reale Reyes

Dentist - General Practice

NPI 1023585130
Ruba Halasa

Student in an Organized Health Care Education/Training Program

NPI 1023823986

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location July 17, 2025

Registered at 801 S PAULINA ST, CHICAGO, IL 606127210 (Tel: 3123551222)

📍
Updated Business Mailing Address July 17, 2025

Registered at 855 W MADISON ST APT 912, CHICAGO, IL 606073138 (Tel: 4088295490)

📍
Updated Practice Location August 25, 2021

Registered at 244 W 54TH ST STE 614, NEW YORK, NY 100195515 (Tel: 2127573183)

📍
Updated Business Mailing Address August 25, 2021

Registered at 4545 CENTER BLVD APT 2220, LONG ISLAND CITY, NY 111095947 (Tel: 4088295490)

👤
Provider Name / Credentials Updated August 25, 2021

Recorded as PAULINE PHAM, DDS

NPI Profile Active April 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2019

Registered at 5800 3RD AVE STE E, BROOKLYN, NY 112203702 (Tel: 7186308573)

📍
Updated Business Mailing Address April 03, 2019

Registered at 300 E 34TH ST APT 34K, NEW YORK, NY 100165225 (Tel: 4088295490)

👤
Provider Name / Credentials Updated April 03, 2019

Recorded as PAULINE PHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 03, 2019

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: 1013479518
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2019
Last Update: July 17, 2025
Sole Proprietor: Yes

Mailing Address

855 W Madison St Apt 912

Chicago, IL 606073138

Phone: 4088295490

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.