OrganizationActive
Mary R. Pham, D.D.S., Inc.
NPI 1164986220 · Pediatric Dentistry · Costa Mesa, CA
Mary R. Pham, D.D.S., Inc. is a Pediatric Dentistry organization in Costa Mesa, CA (NPI 1164986220).
Provider details
- NPI number
- 1164986220
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Paul Pham, Manager(334) 657-7668
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2750 Harbor Blvd # B-06
Costa Mesa, CA 92626-5121
Phone: (334) 657-7668
Street-level locationGet directions
Mailing address
2750 Harbor Blvd # B-06
Costa Mesa, CA 92626-5121
Other names (DBA / former)
- Doing business as
- Lollipop Pediatric Dentistry
Registry dates
- Enumerated
- 2019-01-23
- Last updated
- 2019-01-23
Frequently asked questions
- What is Mary R. Pham, D.D.S., Inc.'s NPI number?
- Mary R. Pham, D.D.S., Inc.'s National Provider Identifier (NPI) is 1164986220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary R. Pham, D.D.S., Inc.?
- Mary R. Pham, D.D.S., Inc. is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Mary R. Pham, D.D.S., Inc. located?
- Mary R. Pham, D.D.S., Inc.'s practice location on file with NPPES is 2750 Harbor Blvd # B-06, Costa Mesa, CA 92626-5121.
- What is Mary R. Pham, D.D.S., Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mary R. Pham, D.D.S., Inc. is (334) 657-7668.
- Who is the authorized official for Mary R. Pham, D.D.S., Inc.?
- The authorized official listed on Mary R. Pham, D.D.S., Inc.'s NPPES record is Paul Pham, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary R. Pham, D.D.S., Inc.'s NPI active?
- Yes — Mary R. Pham, D.D.S., Inc.'s NPI (1164986220) is active in the NPPES registry as of the last update on 2019-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.