Dr. Hao Pham , DDS
Dentist - General Practice • Council Bluffs, IA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Hao Pham has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Hao Pham, DDS was a registered Dentist - General Practice practicing in Council Bluffs, IA. Throughout an active medical career spanning 5 years, Dr. Pham provided care at the practice location at 300 W BROADWAY STE 30 until profile deactivation on 2020-03-16.
Practice Location & Contact Primary Location
300 W Broadway Ste 30
Council Bluffs, IA 515039053
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Council Bluffs, IA
Practicing in Council Bluffs, IA (1303 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 16, 2020
NPI status registered as active in NPPES database
Registered at 300 W BROADWAY STE 30, COUNCIL BLUFFS, IA 515039053 (Tel: 7122569639)
Registered at 3219 RAWHIDE DRIVE, LINCOLN, NE 685070863 (Tel: 4028407009)
Recorded as HAO PHAM, DDS
Dentist (License #6794 in NE)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3219 Rawhide Drive
Lincoln, NE 685070863
Phone: 4028407009
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