Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LONG P PHAM, DDS
ActiveLONG P PHAM, DDS is a Dentist healthcare provider located in ROCK FALLS, Illinois. NPI 1083840441 is currently active in the NPPES registry. Verify at CMS.
Dentist · ROCK FALLS, IL
Registration Details
- NPI Number
- 1083840441
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2009 (17.202656552702 yrs)
- Last Updated
- Feb 6, 2012
- License
-
019027905 (IL)
Practice Information
- Address
-
1300 W 2ND STROCK FALLS, IL, 610711005Browse IL providers · Browse ZIP 61071
- Phone
- 8156262230
- Fax
- 8156266339
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in ROCK FALLS, IL
| Name | Credential | NPI |
|---|---|---|
| DONALD LEE RASTEDE | D.D.S. | 1528150695 |
| DR. JACOB LEE WERTZ | D.D.S. | 1164838579 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.