Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972228831 Individual Practitioner Male Practitioner

Dr. Andrew Christopher Pham , DMD

Dentist - General Practice • Fossil, OR

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Pham, DMD is a registered healthcare professional specializing in Dentist - General Practice in Fossil, OR. Practice services are available at 712 JAY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

712 Jay St

Fossil, OR 978308371

Telephone 5417232725
Associated Practice Facility / Clinic
🏢 Asher Community Health Center Facility NPI 1063675569

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fossil, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Fossil, OR (1994 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: 2022-10-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D11600

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

10 Associated Practitioners
Brian Schaudt , PT

Physical Therapist

NPI 1053059006

Physical Therapist

Debra Stubblefield , RN BSN

Registered Nurse - Home Health

NPI 1265623565

RNBSN

Janet Ridgley , WHCNP, FNP

Nurse Practitioner - Family

NPI 1376583948

WHCNP, Family Nurse Practitioner

Makaila Palazo , PA-C

Physician Assistant

NPI 1457940660

Physician Assistant (Certified)

Justin Cameron

Physician Assistant

NPI 1639659279
Ashley Lynch , CHW

Community Health Worker

NPI 1669258646

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2022

Registered at 712 JAY ST, FOSSIL, OR 978308371 (Tel: 5417232725)

📍
Updated Business Mailing Address October 04, 2022

Registered at 14730 SE FRYE ST, HAPPY VALLEY, OR 970862837 (Tel: 9715339161)

👤
Provider Name / Credentials Updated October 04, 2022

Recorded as ANDREW PHAM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2022

Dentist (License #D11600 in OR)

🟢
Initial NPI Registration & Enumeration October 04, 2022

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: 1972228831
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2022
Last Update: October 04, 2022
Sole Proprietor: No

Mailing Address

14730 Se Frye St

Happy Valley, OR 970862837

Phone: 9715339161

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.