MEDICARE: WINNA PHAM DDS PLLC

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	:	1457298739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINNA PHAM DDS PLLC

Provider Business Mailing Address
First Line	:	3650 S DECATUR BLVD STE 33
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-5866
Country	:	US
Telephone Number	:	702-367-7587
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 S DECATUR BLVD STE 33
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-5866
Country	:	US
Telephone Number	:	702-367-7587
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. WINNA PHAM
Credential	:	DDS
Telephone Number	:	702-509-3213

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “WINNA PHAM DDS PLLC ” Practice Location

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