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Active NPI 1063649267 Individual Practitioner Male Practitioner

Dr. Thanh Pham , DMD

Dentist - General Practice • Clinton, MA

Professional Overview & Biography Verified Profile Summary

Dr. Thanh Pham, DMD is a registered healthcare professional specializing in Dentist - General Practice in Clinton, MA. Practice services are available at 127 HIGH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

127 High St

Clinton, MA 015102510

Telephone 6174700902
Fax 2078536180
Associated Practice Facility / Clinic
🏢 Immediate Dental Inc. Facility NPI 1013365857

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Clinton, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Clinton, MA (3722 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 MA DN1855283

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 ME PENDING

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

NUCC Taxonomy Code: 122300000X

State License MA DN1855283

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Sandra Manship , APRN-CNP

Nurse Practitioner - Family

NPI 1215368881

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Brian Brooks

Counselor - Mental Health

NPI 1225223357
Pamela Koenig , MSN, CRNP

Nurse Practitioner - Family

NPI 1376548446

Master of Science in Nursing, Certified Registered Nurse Practitioner

Jennifer Doucette , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1437090065

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 28, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 28, 2010

Registered at 127 HIGH ST, CLINTON, MA 015102510 (Tel: 6174700902)

📍
Updated Business Mailing Address April 28, 2010

Registered at 88 ANGELL ST, MANSFIELD, MA 020481449 (Tel: 6174700902)

👤
Provider Name / Credentials Updated April 28, 2010

Recorded as THANH PHAM, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2010

Dentist (License #DN1855283 in MA)

🟢
Initial NPI Registration & Enumeration June 15, 2009

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: 1063649267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2009
Last Update: April 28, 2010
Sole Proprietor: No

Mailing Address

88 Angell St

Mansfield, MA 020481449

Phone: 6174700902

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.