Lieng T Pham, DDS is a
Dentist based in Evans, Colorado. Lieng T Pham is licensed to practice in Colorado (license number 7305) and her current practice location is
2930 11th Ave, Evans, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 350-4606.
NPI number for Lieng T Pham is 1356457816 and her current mailing address is 1006 A St, Greeley, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356457816.
Healthcare Provider's Profile
Full Name | Lieng T Pham |
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Gender | Female |
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Speciality | Dentist |
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Location | 2930 11th Ave, Evans, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356457816
- Provider Enumeration Date: 08/21/2006
- Last Update Date: 02/04/2014
Medical Identifiers
Medical identifiers for Lieng T Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356457816 | NPI | - | NPPES |
02073054 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 7305 (Colorado) | 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. Lieng T 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 |
Lieng T Pham, DDS 1006 A St, Greeley, CO 80631-2021 Ph: (970) 352-0048 | Lieng T Pham, DDS 2930 11th Ave, Evans, CO 80620-1011 Ph: (970) 350-4606 |
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