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

Dr. Thach Pham, DMD

Individual provider Dentist · NPI 1407816903

Dr. Thach Pham, DMD is a Dentist in Lakeland, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1417 Lakeland Hills Blvd Ste 101
Lakeland, FL 33805-3200
Phone: (866) 234-8534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 950 County Road 17a W, Avon Park, FL 33825-2164 — (866) 234-8534

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN16419 (FL)

Record details

NPI number1407816903
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 27, 2006
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022
Mailing address47 5th St Nw, Winter Haven, FL 33881-4672

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