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

Thai Pham DMD PA

Organization Endodontics · NPI 1174070361

Thai Pham DMD PA is an Endodontics in Gibsonton, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13127 Kings Lake Dr Ste 101
Gibsonton, FL 33534-3958
Phone: (813) 284-7958
Fax: (813) 284-7959
Show map & directions

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

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence DN18558 (FL)

Record details

NPI number1174070361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thai Pham — Director · (813) 802-6849
Other names Endodontic Innovations
NPI enumeratedSeptember 6, 2016
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022
Mailing address13127 Kings Lake Dr, Suite 101, Gibsonton, FL 33534-3958

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