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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770947426

Mary T. Pham, DDS is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Registered with an NPI since 2016.

In the registry since
2016
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

201 Lyons Ave
Newark, NJ 07112-2027
Phone: (973) 926-7642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1770947426
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 8, 2016
Last updated in NPPESApril 8, 2016
Mailing address451 E Market St, Apt. 245, Indianapolis, IN 46204-2635

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