Dr Thien Quang Pham, DDS in Blaine, MN - Dentist

Dr Thien Quang Pham, DDS is a Dentist based in Blaine, Minnesota. Dr Thien Quang Pham is licensed to practice in Minnesota (license number D13682) and his current practice location is 12904 Central Ave Ne, Blaine, Minnesota. He can be reached at his office (for appointments etc.) via phone at (651) 621-4515.

NPI number for Dr Thien Quang Pham is 1104273085 and his current mailing address is 12904 Central Ave Ne, Blaine, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104273085.

Contact Information

	Dr Thien Quang Pham, DDS
	12904 Central Ave Ne, Blaine, MN 55434-4147
	(651) 621-4515
	Not Available

Healthcare Provider's Profile

Full Name	Dr Thien Quang Pham
Gender	Male
Speciality	Dentist
Location	12904 Central Ave Ne, Blaine, Minnesota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1104273085
Provider Enumeration Date: 05/19/2016
Last Update Date: 05/19/2016

Medical Identifiers

Medical identifiers for Dr Thien Quang Pham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104273085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D13682 (Minnesota)	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 Thien Quang Pham 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 Address	Practice Location Address
Dr Thien Quang Pham, DDS 12904 Central Ave Ne, Blaine, MN 55434-4147 Ph: (651) 621-4515	Dr Thien Quang Pham, DDS 12904 Central Ave Ne, Blaine, MN 55434-4147 Ph: (651) 621-4515

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Dentist in Blaine, MN

Dr. Jeffrey Mark Ruhlmann, Dentist Medicare: Medicare Enrolled Practice Location: 12904 Central Ave Ne, Blaine, MN 55434 Phone: 763-755-1330
Dr. Landon Thomas Case, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 Phone: 763-225-1865
Dr. Stephen Michael Sawyer, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 12904 Central Ave Ne, Blaine, MN 55434 Phone: 763-755-1330 Fax: 763-755-4305
Dr. Anissa Jane Kozlowski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12904 Central Ave Ne, Blaine, MN 55434 Phone: 763-755-1330 Fax: 763-755-4305
Dr. Karen Dizon Competente, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4255 Pheasant Ridge Dr Ne, Suite 407, Blaine, MN 55449 Phone: 763-225-6100 Fax: 763-225-6101
Dr. Shalini Mittal, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1384 109th Ave Ne Ste 200, Blaine, MN 55434 Phone: 763-757-6000

Dr Thien Quang Pham, DDS - Dentist in Blaine, MN