MEDICARE: JENNIFER PHAM DDS, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1235063660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JENNIFER PHAM DDS, PA

Provider Business Mailing Address
First Line	:	6369 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-5103
Country	:	US
Telephone Number	:	832-251-0151
Fax Number	:	832-251-0144

Provider Business Practice Location Address
First Line	:	6369 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-5103
Country	:	US
Telephone Number	:	832-251-0151
Fax Number	:	832-251-0144

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JENNIFER PHIANH PHAM
Credential	:	DDS
Telephone Number	:	832-251-0151

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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