DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PHONG CAM TA, D.D.S.

Active Sole Proprietor

DR. PHONG CAM TA, D.D.S. is a 1223D0004X healthcare provider located in NEW YORK, New York. NPI 1861646747 is currently active in the NPPES registry. Verify at CMS.

1223D0004X · NEW YORK, NY

Registration Details

NPI Number
1861646747
Provider Type
Individual
Gender
Male
NPI Issued
Nov 5, 2008 (17.747133626482 yrs)
Last Updated
Jun 16, 2016
Licenses
P65701 (NY)
054360 (NY)
Sole Proprietor
Yes

Practice Information

Address
410 W 53RD ST
APT 126
NEW YORK, NY, 100195622
Browse NY providers · Browse ZIP 10019
Phone
2155278768
Primary Specialty
1223D0004X
1223D0004X
Additional Specialty
1223D0004X

Other 1223D0004X Providers in NEW YORK, NY

Name Credential NPI
DR. CAMILLE CHIQUES DMD 1417189853
BRANDON MICHAEL FITZGERALD DMD 1801139662
MIRIAM ELIZABETH CHUNG DDS 1699153429
SPENCER WADE 1316396419
DR. EMANUEL GLUCKMAN DDS 1922500818
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.