Dr Kevin Thang Pham I, DDS - Dentist in Stockton, CA

Dr Kevin Thang Pham I, DDS is a Dentist - General Practice based in Stockton, California. Dr Kevin Thang Pham I is licensed to practice in California (license number 48979) and his current practice location is 7746 Lorraine Ave Ste 204, Stockton, California. He can be reached at his office (for appointments etc.) via phone at (209) 475-0869.

NPI number for Dr Kevin Thang Pham I is 1003900705 and his current mailing address is 7746 Lorraine Ave Ste 204, Stockton, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003900705.

Contact Information

Dr Kevin Thang Pham I, DDS
7746 Lorraine Ave Ste 204,
Stockton, CA 95210-4234
(209) 475-0869
(209) 475-0859



Healthcare Provider's Profile

Full NameDr Kevin Thang Pham I
GenderMale
SpecialityDentist - General Practice
Location7746 Lorraine Ave Ste 204, Stockton, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003900705
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 03/25/2021

Medical Identifiers

Medical identifiers for Dr Kevin Thang Pham I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003900705NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 48979 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kevin Thang Pham I is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kevin Thang Pham I, DDS
7746 Lorraine Ave Ste 204,
Stockton, CA 95210-4234

Ph: (209) 475-0869
Dr Kevin Thang Pham I, DDS
7746 Lorraine Ave Ste 204,
Stockton, CA 95210-4234

Ph: (209) 475-0869

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› Verified 4 days ago


Dentist in Stockton, CA

Dr. Scott Ernest Adams, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1710 E March Ln, Ste 2b, Stockton, CA 95210
Phone: 209-474-1000    Fax: 209-474-8429
Zarjan Khan,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 7860 West Ln Ste B, Stockton, CA 95210
Phone: 209-235-0295    
Dr. Roger K Lang, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 3031 W March Ln, Suite 318e, Stockton, CA 95219
Phone: 209-956-0601    Fax: 209-952-8845
Thomas E Bianchi, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 3427 Deer Park Dr, Suite A, Stockton, CA 95219
Phone: 209-478-2252    
Dr. Phuong Le Du, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 8215 Powell Dr, Stockton, CA 95212
Phone: 209-351-5203    
Ebrahim Shafieha, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 902 E Hammer Lane, Stockton, CA 95210
Phone: 209-957-9500    Fax: 209-957-9508

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