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

Stacy Mai Pham, DDS

Individual provider Dentist · NPI 1063420255

Stacy Mai Pham, DDS is a Dentist in Riverside, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

4000 Tyler St
Riverside, CA 92503
Phone: (951) 687-4155
Fax: (951) 687-7448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 39461 (CA)

Record details

NPI number1063420255
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESJanuary 27, 2020
Certification dateJanuary 27, 2020
Mailing address4000 Tyler St, Riverside, CA 92503

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