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WATERHOUSE FAMILY DENTAL INC. NPI 1437323839


NPI Information

NPI: 1437323839
Provider Name: WATERHOUSE FAMILY DENTAL, INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 38D2234899

Address:
16055 SW REGATTA LN
STE 800
BEAVERTON, OR
ZIP 97006
Phone: (503) 614-0454
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WATERHOUSE FAMILY DENTAL, INC. 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. WATERHOUSE FAMILY DENTAL, INC. NPI is 1437323839. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16055 SW REGATTA LN
STE 800
BEAVERTON, OR
ZIP 97006-303
Phone: (503) 614-0454
Fax: (503) 614-9874

The provider's authorized official is Mohammad H Fotouhi .
The authorized official title is Dentist and has the following contact phone number (503) 614-0454.

The CLIA number assigned to this NPI record is 38D2234899 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2008 and was last updated on 4/16/2008.


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 PracticeD7425OREGONYes

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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