Dr Thach Pham, DMD | |
1417 Lakeland Hills Blvd Ste 101, Lakeland, FL 33805-3200 | |
(866) 234-8534 | |
Not Available |
Full Name | Dr Thach Pham |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 1417 Lakeland Hills Blvd Ste 101, Lakeland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407816903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN16419 (Florida) | Primary |
Entity Name | Central Florida Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467449660 PECOS PAC ID: 0143127951 Enrollment ID: O20031218000228 |
Mailing Address | Practice Location Address |
---|---|
Dr Thach Pham, DMD 47 5th St Nw, Winter Haven, FL 33881-4672 Ph: (866) 234-8534 | Dr Thach Pham, DMD 1417 Lakeland Hills Blvd Ste 101, Lakeland, FL 33805-3200 Ph: (866) 234-8534 |
Gayathri H Subbaraya, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2960 Lakeland Highlands Rd, Lakeland, FL 33803 Phone: 863-665-1545 Fax: 863-665-1615 | |
Dr. Thomas F Plunkett, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2137 E County Road 540a, Lakeland, FL 33813 Phone: 863-646-0313 | |
Dr. Stephen Justice Walding Iii, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3615 S Florida Ave, Suite 850, Lakeland, FL 33803 Phone: 863-619-6600 Fax: 863-619-6644 | |
Gabriela Larrea, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5406 Strickland Ave, Lakeland, FL 33812 Phone: 863-648-1030 | |
Dr. William Nerestant, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 607 S Missouri Ave, Lakeland, FL 33815 Phone: 863-688-9001 Fax: 863-686-6732 | |
Ms. Ngoc An Khanh Nguyen, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 4021 S Florida Ave, Lakeland, FL 33813 Phone: 863-837-1087 | |
Gregory P Scott, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 5110 S Lakeland Dr, Lakeland, FL 33813 Phone: 863-709-1941 Fax: 863-709-8091 |