Christopher Pham, DDS | |
200 Nw 7th Ave, Ft Lauderdale, FL 33311-9026 | |
(954) 759-6710 | |
Not Available |
Full Name | Christopher Pham |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 200 Nw 7th Ave, Ft Lauderdale, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720431133 | NPI | - | NPPES |
019431200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN 22126 (Florida) | Primary |
Entity Name | Community Clinic, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790730281 PECOS PAC ID: 6204722614 Enrollment ID: O20040224000222 |
Mailing Address | Practice Location Address |
---|---|
Christopher Pham, DDS 1608 Se 3rd Ave, Third Floor, Fort Lauderdale, FL 33316-2564 Ph: (954) 759-6710 | Christopher Pham, DDS 200 Nw 7th Ave, Ft Lauderdale, FL 33311-9026 Ph: (954) 759-6710 |
Dr. Antonio Julio Llera, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 2607 Davie Blvd, Ft Lauderdale, FL 33312 Phone: 954-587-7111 | |
Dr. Charles H Moses Iii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1221 E Broward Blvd, Ft Lauderdale, FL 33301 Phone: 954-462-9606 | |
Dr. Stuart George Moraitis, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1101 E Broward Blvd, Ft Lauderdale, FL 33301 Phone: 954-524-0577 Fax: 954-524-0537 | |
Dr. Brent J Bracco, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2461 E Commercial Blvd, Ft Lauderdale, FL 33308 Phone: 954-771-5303 Fax: 954-771-2032 | |
Mr. Jorge M Ricardez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2330 Ne 9th St, Ft Lauderdale, FL 33304 Phone: 954-563-5535 Fax: 954-563-8888 | |
Dr. Lloyd Albert Sipkin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2655 East Oakland Pk Blvd, Ft Lauderdale, FL 33306 Phone: 954-565-7555 Fax: 954-565-7556 | |
Richard Burton Forum, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 320 Se 18th St, Ft Lauderdale, FL 33316 Phone: 954-523-5465 |