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Nicky Pham
General Practice Dentistry in Moore, Oklahoma
NPI 1518658079

Nicky Pham is a General Practice Dentistry based in Jenks, OK and is specialized in General Practice. Nicky Pham practices in Moore, OK. The NPI Number for Nicky Pham is 1518658079 and holds a License No. 7750 (Oklahoma).

The current practice location address for Nicky Pham is 811 Sw 19Th St Ste A, Moore, OK and can be reached out via phone at 405-703-5161.

Location: 811 Sw 19Th St Ste A, Moore, OK, 74037-5619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518658079
Provider Name
Nicky Pham
Credential
Provider Entity Type
Individual
Gender
Male
Address
811 Sw 19Th St Ste A, Moore, OK, 74037-5619
Phone Number
405-703-5161
Fax Number
Provider Enumeration Date
05/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
811 Sw 19Th St Ste A
City
Moore
State
Oklahoma
Zip
73160-2890
Phone Number
405-703-5161
Fax Number
person
Provider Business Mailing Address Details
Address
811 Sw 19Th St Ste A
City
Moore
State
Oklahoma
Zip
73160-2890
Phone Number
405-703-5161
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
7750 (Oklahoma)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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