DR. MIMI POON WHITTEMORE D.M.D. NPI 1598830911

NPI Information

DR. Mimi Poon Whittemore, D.M.D. 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. DR. Mimi Poon Whittemore, D.M.D. NPI is 1598830911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4925 SW GRIFFITH DR
BEAVERTON, OR
ZIP 97005-923
Phone: (503) 277-7014

The NPI 1598830911 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 11/21/2006 and was last updated on 5/13/2015.

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:

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