Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366996092 Individual Practitioner Male Practitioner

Dr. Andrew Quang Pham , DDS

Dentist - General Practice • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Pham, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fairfax, VA. Practice services are available at 3930 WALNUT ST STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3930 Walnut St Ste 210

Fairfax, VA 220304738

Telephone 7039358699

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fairfax, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
130 Specialists

Practicing in Fairfax, VA (3535 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: 2021-03-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401415281

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 TX 31912

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.

Secondary Practice Locations

24565 Dulles Landing Dr Unit 190

Dulles, VA 201662714

Phone: 7034578736

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 26, 2021

Registered at 3930 WALNUT ST STE 210, FAIRFAX, VA 220304738 (Tel: 7039358699)

📍
Updated Business Mailing Address March 26, 2021

Registered at 10779 CREST ST, FAIRFAX, VA 220305171 (Tel: 5712248791)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2021

Dentist (License #0401415281 in VA)

NPI Profile Active August 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2016

Registered at 3550 RAYFORD RD, #210, SPRING, TX 773864343 (Tel: 2815280008)

📍
Updated Business Mailing Address August 11, 2016

Registered at 301 PRUITT RD, APT 332, SPRING, TX 773803021 (Tel: 5712248791)

👤
Provider Name / Credentials Updated August 11, 2016

Recorded as ANDREW PHAM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2016

Dentist (License #31912 in TX)

🟢
Initial NPI Registration & Enumeration August 11, 2016

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: 1366996092
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2016
Last Update: March 26, 2021
Sole Proprietor: No

Mailing Address

10779 Crest St

Fairfax, VA 220305171

Phone: 5712248791

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.