Provider Demographics
NPI:1316047798
Name:TRINH-PHAM, NGHI (DDS)
Entity type:Individual
Prefix:DR
First Name:NGHI
Middle Name:
Last Name:TRINH-PHAM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 CENTER ST W
Mailing Address - Street 2:
Mailing Address - City:ROSEAU
Mailing Address - State:MN
Mailing Address - Zip Code:56751-1419
Mailing Address - Country:US
Mailing Address - Phone:218-463-1070
Mailing Address - Fax:
Practice Address - Street 1:308 CENTER ST W
Practice Address - Street 2:
Practice Address - City:ROSEAU
Practice Address - State:MN
Practice Address - Zip Code:56751-1419
Practice Address - Country:US
Practice Address - Phone:218-463-1070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX181621223G0001X
MND13633122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice