OrganizationActive
Thai Pham DMD PA
NPI 1174070361 · Endodontics · Gibsonton, FL
Thai Pham DMD PA is a Endodontics organization in Gibsonton, FL (NPI 1174070361).
Provider details
- NPI number
- 1174070361
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Thai Pham, Director(813) 802-6849
- License
- DN18558 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
13127 Kings Lake Dr
Suite 101
Gibsonton, FL 33534-3958
Phone: (813) 284-7958
Fax: (813) 284-7959
Street-level locationGet directions
Mailing address
13127 Kings Lake Dr
Gibsonton, FL 33534-3958
Other names (DBA / former)
- Doing business as
- Endodontic Innovations
Registry dates
- Enumerated
- 2016-09-06
- Last updated
- 2022-08-26
- Certified
- 2022-08-26
Frequently asked questions
- What is Thai Pham DMD PA's NPI number?
- Thai Pham DMD PA's National Provider Identifier (NPI) is 1174070361, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Thai Pham DMD PA?
- Thai Pham DMD PA is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Thai Pham DMD PA located?
- Thai Pham DMD PA's practice location on file with NPPES is 13127 Kings Lake Dr, Gibsonton, FL 33534-3958.
- What is Thai Pham DMD PA's phone number?
- The practice phone number listed in the NPPES registry for Thai Pham DMD PA is (813) 284-7958.
- Who is the authorized official for Thai Pham DMD PA?
- The authorized official listed on Thai Pham DMD PA's NPPES record is Thai Pham, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Thai Pham DMD PA's NPI active?
- Yes — Thai Pham DMD PA's NPI (1174070361) is active in the NPPES registry as of the last update on 2022-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.