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

Nicky Pham

Individual provider General Practice Dentistry · NPI 1518658079

Nicky Pham is a General Practice Dentistry in Moore, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2023.

Licensed in
OK
In the registry since
2023

Practice location Address checks out

811 SW 19th St Ste A
Moore, OK 73160-2890
Phone: (405) 703-5161
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7750 (OK)

Record details

NPI number1518658079
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 16, 2023
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023
Mailing address400 Riverwalk Ter Ste 250, Jenks, OK 74037-5619

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