Male or Other

Dr. Matthew T. Pham DDS

Dentist in Selma, NC(View on Map)

Full Name

Dr. Matthew Tran Pham DDS

NPI Number

1932689726

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/21/2018

Specialties

(Taxonomies)

Code

122300000X
171000000X

Primary Taxonomy

Yes
No

Licenses

State

North Carolina
Tennessee

License Number

12549
11018

Contact
Information

Purpose

Mailing
Location

Address

1631 WETZEL AVE BLDG 815
1111 S POLLOCK ST

City

Fort Carson
Selma

State

CO
NC

Postal Code

80913-4095
27576-2933

Country

US
US

Telephone Number

N/A
(919) 965-2552

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/12/2024

Provider Address

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Female

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