Stacy Mai Pham, DDS - Dentist in Riverside, CA

Stacy Mai Pham, DDS is a Dentist based in Riverside, California. Stacy Mai Pham is licensed to practice in California (license number 39461) and her current practice location is 4000 Tyler St, Riverside, California. She can be reached at her office (for appointments etc.) via phone at (951) 687-4155.

NPI number for Stacy Mai Pham is 1063420255 and her current mailing address is 4000 Tyler St, Riverside, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063420255.

Contact Information

Stacy Mai Pham, DDS
4000 Tyler St,
Riverside, CA 92503
(951) 687-4155
(951) 687-7448



Healthcare Provider's Profile

Full NameStacy Mai Pham
GenderFemale
SpecialityDentist
Location4000 Tyler St, Riverside, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063420255
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 01/27/2020

Medical Identifiers

Medical identifiers for Stacy Mai Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063420255NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 39461 (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. Stacy Mai 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 AddressPractice Location Address
Stacy Mai Pham, DDS
4000 Tyler St,
Riverside, CA 92503

Ph: (951) 687-4155
Stacy Mai Pham, DDS
4000 Tyler St,
Riverside, CA 92503

Ph: (951) 687-4155

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› Verified 3 days ago


Dentist in Riverside, CA

Dr. Kyungsin Park, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 285 E Alessandro Blvd, Ste 7d, Riverside, CA 92508
Phone: 951-780-9800    Fax: 951-780-3267
Han Som Lee,
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Medicare: Not Enrolled in Medicare
Practice Location: 3457 Arlington Ave Ste 109, Riverside, CA 92506
Phone: 951-742-5208    
Dr. Vivian Okhee Kwon, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2955 Van Buren Blvd, Ste H4, Riverside, CA 92503
Phone: 951-689-8544    Fax: 951-689-2465
Dr. Osbalda Dominga Reina, DDS
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Medicare: Medicare Enrolled
Practice Location: 4959 Arlington Ave Ste H, Riverside, CA 92504
Phone: 951-299-7101    Fax: 951-299-7101
Dr. Armound Mahmoudi, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 10168 Indiana Ave, Riverside, CA 92503
Phone: 951-352-9747    Fax: 951-352-2316
Liviu Florian Eftimie, D.D.S, M.S., D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3763 Tibbetts St, Riverside, CA 92506
Phone: 951-799-4911    Fax: 951-778-0799
Manuel Humberto Guevara, DDS,MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3679 Arlington Ave, Riverside, CA 92506
Phone: 951-683-1811    Fax: 951-782-0649

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