| Nghi Trinh-pham, Dds | |
|
308 Center St W Roseau MN 56751-1419 | |
| (218) 463-1070 | |
| (218) 463-1170 |
| Full Name | Nghi Trinh-pham, Dds |
|---|---|
| Speciality | Dentist |
| Location | 308 Center St W, Roseau, Minnesota |
| Authorized Official Name and Position | Nghi Trinh-pham (PRESIDENT) |
| Authorized Official Contact | 2184631070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nghi Trinh-pham, Dds 308 Center St W Roseau MN 56751-1419 Ph: (218) 463-1070 | Nghi Trinh-pham, Dds 308 Center St W Roseau MN 56751-1419 Ph: (218) 463-1070 |
| NPI Number | 1346410909 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 07/22/2022 |
| Medicare PECOS PAC ID | 0840675609 |
|---|---|
| Medicare Enrollment ID | O20220914001641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346410909 | NPI | - | NPPES |
| 1346410909 | Other | MN | FEE FOR SERVICE PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8357 (Minnesota) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Nghi Trinh-pham |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316047798 PECOS PAC ID: 1759766512 Enrollment ID: I20220914001734 |
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