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BEAVERTON FAMILY DENTISTRY NPI 1003138116


NPI Information

NPI: 1003138116
Provider Name: BEAVERTON FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 38D0064461

Address:
10950 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR
ZIP 97005
Phone: (503) 641-1100
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BEAVERTON FAMILY DENTISTRY is a general practice dentist in Beaverton, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BEAVERTON FAMILY DENTISTRY NPI is 1003138116. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10950 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR
ZIP 97005-003
Phone: (503) 641-1100

The provider's authorized official is Tony H Moghimian .
The authorized official title is President and has the following contact phone number (503) 641-1100.

The CLIA number assigned to this NPI record is 38D0064461 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/17/2010 and was last updated on 2/17/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD6683OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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