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Andrew Pham, DMD — NPI 1972228831, Fossil, OR | NPI Central

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NPI 1972228831

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Andrew Pham, DMD

NPI 1972228831 · General Practice Dentistry · Fossil, OR

Provider details

NPI number: 1972228831
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: D11600 (OR)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense D11600 (OR)
Dental Providers

Practice location

712 Jay St

Fossil, OR 97830-8371

Phone: (541) 723-2725

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

14730 Se Frye St

Happy Valley, OR 97086-2837

Registry dates

Enumerated: 2022-10-04
Last updated: 2022-10-04
Certified: 2022-10-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.