Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary R. Pham, DDS, Inc

Organization Pediatric Dentistry · NPI 1164986220

Mary R. Pham, DDS, Inc is a Pediatric Dentistry in Costa Mesa, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2750 Harbor Blvd # B-06
Costa Mesa, CA 92626-5121
Phone: (334) 657-7668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1164986220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Pham — Manager · (334) 657-7668
Other names Lollipop Pediatric Dentistry
NPI enumeratedJanuary 23, 2019
Last updated in NPPESJanuary 23, 2019
Mailing address2750 Harbor Blvd # B-06, Costa Mesa, CA 92626-5121

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