Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jackline Anh-Dao Pham, DDS

Individual provider General Practice Dentistry · NPI 1992835235

Dr. Jackline Anh-Dao Pham, DDS is a General Practice Dentistry in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4344 Convoy St Ste S
San Diego, CA 92111
Phone: (858) 616-6468
Fax: (858) 616-6478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 45309 (CA)

Record details

NPI number1992835235
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 6, 2007
Last updated in NPPESFebruary 23, 2021
Certification dateFebruary 23, 2021

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