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EMERGENCY TOOTH DOCTOR DOWNTOWNP.C. NPI 1386902757


NPI Information

NPI: 1386902757
Provider Name: EMERGENCY TOOTH DOCTOR DOWNTOWN,P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1505 SW BROADWAY
PORTLAND, OR
ZIP 97201
Phone: (503) 222-0090
Get Directions

EMERGENCY TOOTH DOCTOR DOWNTOWN,P.C. is a general practice dentist in Portland, 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. EMERGENCY TOOTH DOCTOR DOWNTOWN,P.C. NPI is 1386902757. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1505 SW BROADWAY
PORTLAND, OR
ZIP 97201-414
Phone: (503) 222-0090
Fax: (503) 222-0101

The provider's authorized official is Thomas Pham .
The authorized official title is Dentist and has the following contact phone number (503) 641-2200.

The enumeration date for this NPI number is 4/24/2012 and was last updated on 4/24/2012.


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 PracticeD8300OREGONYes

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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