Provider Demographics
NPI:1033416250
Name:TL PHAM, P.A., DBA HAPPY SMILES
Entity Type:Organization
Organization Name:TL PHAM, P.A., DBA HAPPY SMILES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THANG
Authorized Official - Middle Name:CHI
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-447-0745
Mailing Address - Street 1:4903 CANTERBURY WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-2135
Mailing Address - Country:US
Mailing Address - Phone:832-286-4550
Mailing Address - Fax:
Practice Address - Street 1:7640 AIRLINE DR UNIT E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77037-4621
Practice Address - Country:US
Practice Address - Phone:281-741-0545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX260541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty