Port Orange Modern Dentistry, PA
NPI 1982179818ActiveOrganization· Dentist· Port Orange, FL
Dentist in Port Orange, Florida, registered in NPPES in October 2018. The authorized official on file is Minh B. Pham, DDS, Owner/Gp.
Overview
| NPI | 1982179818 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 8, 2018 |
| Last updated in NPPES | Aug 25, 2022 |
| Certified by provider | Aug 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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