EMERGENCY TOOTH DOCTOR EAST PC NPI 1629279674

NPI Information

EMERGENCY TOOTH DOCTOR EAST, PC 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 EAST, PC NPI is 1629279674. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Emergency Tooth Doctor East.

The provider's business location address is:

12596 SE STARK ST
PLAZA 125 BLDG N
PORTLAND, OR
ZIP 97233-056
Phone: (503) 252-9657
Fax: (503) 256-6909

The provider's authorized official is Thomas T Pham .
The authorized official title is President and has the following contact phone number (503) 252-9657.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 8/22/2020.

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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