Active NPI 1922434562 Individual Practitioner Male Practitioner

Dr. Benjamin Pham , DMD

Dentist - Pediatric Dentistry • West Linn, OR

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Pham, DMD is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in West Linn, OR. Practice services are available at 2020 8TH AVE STE 121 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2020 8th Ave Ste 121

West Linn, OR 970684657

Telephone 5033056505

Associated Practice Facility / Clinic

🏢 Big Tooth Little Tooth Pediatric Dentistry Pc Facility NPI 1366923245

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in West Linn, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

2 Specialists

Practicing in West Linn, OR (180 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: 2020-11-30

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License OR D10575

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License CA 64392

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License NY 056971-1

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

03818279 (NY)

Secondary Practice Locations

387 Ne 223rd Ave

Gresham, OR 970308554

Phone: 5034915436

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location November 30, 2020

Registered at 2020 8TH AVE STE 121, WEST LINN, OR 970684657 (Tel: 5033056505)

📍

Updated Business Mailing Address November 30, 2020

Registered at 2020 8TH AVE STE 121, WEST LINN, OR 970684657 (Tel: 5033056505)

✅

NPI Profile Active December 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 13, 2016

Registered at 387 NE 223RD AVE, GRESHAM, OR 970308554 (Tel: 5034915436)

📍

Updated Business Mailing Address December 13, 2016

Registered at 1515 NW 21ST AVE, APT 516, PORTLAND, OR 972091785 (Tel: 5109102337)

👤

Provider Name / Credentials Updated December 13, 2016

Recorded as BENJAMIN PHAM, DMD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2016

Dentist (License #D10575 in OR)

🟢

Initial NPI Registration & Enumeration September 14, 2013

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: 1922434562

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 14, 2013

Last Update: November 30, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2020 8th Ave Ste 121

West Linn, OR 970684657

Phone: 5033056505

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.