EMERGENCY TOOTH DOCTOR VANCOUVER P.C. NPI 1730578360

NPI Information

EMERGENCY TOOTH DOCTOR VANCOUVER, P.C. 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. EMERGENCY TOOTH DOCTOR VANCOUVER, P.C. NPI is 1730578360. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14665 SW MILLIKAN WAY
BEAVERTON, OR
ZIP 97003-999
Phone: (503) 641-2200
Fax: (503) 641-2220

The provider's authorized official is Thomas T Pham .
The authorized official title is President/dentist and has the following contact phone number (503) 641-2200.

The enumeration date for this NPI number is 1/20/2015 and was last updated on 1/20/2015.

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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