Jacqueline Tuyen Pham, DMD
Jacqueline Tuyen Pham is a General Practice Dentistry provider (Dentist) practicing in Chamblee, GA, registered in the NPPES registry with NPI 1609096049 since 2007. The credential DMD stands for Doctor of Medicine in Dentistry. Practices at South East Dental (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1609096049 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jacqueline Tuyen Pham |
| Credential | DMD |
| Sex | Female |
| Practice address | 4649 BUFORD HWY, Chamblee, GA, 30341 |
| Phone | 7704521400 |
| Enumeration date | 2007-04-26 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | DN0112567 | GA |
DMD — Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00787333 | Medicaid | GA | — |
| 677H | Other | GA | DORAL |
| 101189 | Other | GA | PEACH STATE |
Copy-ready billing details
Provider: Jacqueline Pham, DMD NPI: 1609096049 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 4649 BUFORD HWY, Chamblee, GA, 30341
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1427277458 | South East Dental | Organization | General Practice Dentistry | Chamlee, GA |
Verify this record
Cross-check NPI 1609096049 against the authoritative CMS record: view Jacqueline Tuyen Pham on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.