Pham, Jacob H.

Pham, Jacob H. is an sole proprietor health care provider with primary practice located at 6212 Peters Creek Rd , Roanoke VA 24019-4026. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Pham, Jacob H. can be contacted via phone (540) 563-0519.

Contact Information

Primary practice address
6212 Peters Creek Rd Roanoke VA 24019-4026
Phone: (540) 563-0519
Fax: (540) 563-1184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401413420 Virginia
Dental Providers / General Practice 1223G0001X 0401413420 Virginia

Profile Details

NPI number 1518958248
LBN Legal business name Pham, Jacob H.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Feb 22nd, 2016 - about 10 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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