Nguyen, Jennifer Pham

Nguyen, Jennifer Pham is an individual health care provider with primary practice located at 2180 N Courtenay Pkwy , Merritt Island FL 32953-4236. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is her primary health care specialty. Nguyen, Jennifer Pham can be contacted via phone (321) 452-3388.

Contact Information

Primary practice address
2180 N Courtenay Pkwy Merritt Island FL 32953-4236
Phone: (321) 452-3388
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 16850 Maryland
Dental Providers / Prosthodontics 1223P0700X 26322 Florida

Profile Details

NPI number 1376170266
LBN Legal business name Nguyen, Jennifer Pham
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2020
Last updated Aug 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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