Parkrose Family Dentistry, P.C. in Portland - Dentist
Parkrose Family Dentistry, P.C. - NPI 1295811180
Parkrose Family Dentistry, P.C. is a Dentist in Portland, Oregon. Parkrose Family Dentistry, P.C. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Parkrose Family Dentistry, P.C. is 1295811180. The last update date is 2020-08-22.
Parkrose Family Dentistry, P.C.'s current location address is 3620 Ne 122nd Ave, Portland, Oregon. You can contact this provider via phone number 5032545575 and fax number 5032542162. The mailing address for Parkrose Family Dentistry, P.C. is 3620 Ne 122nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Parkrose Family Dentistry, P.C. |
|---|---|
| Address | 3620 Ne 122nd Ave, Portland, Oregon |
| Phone Number | 5032545575 |
| Fax Number | 5032542162 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Tieu Thanh Thomas |
| Credentials | DMD |
| Telephone Number | 5032545575 |
NPI Number Detail
| NPI Number | 1295811180 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3620 Ne 122nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972301365 |
| Phone Number | 5032545575 |
| Fax Number | 5032542162 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D7324 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D7324 | OR | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Parkrose Family Dentistry, P.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Parkrose Family Dentistry, P.C. has been assigned the NPI (National Provider Identifier) 1295811180. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Parkrose Family Dentistry, P.C.?
The Parkrose Family Dentistry, P.C. is situated at 3620 Ne 122Nd Ave, in the city of Portland, state of OR, with the zip code 972301365.
What is Parkrose Family Dentistry, P.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Parkrose Family Dentistry, P.C. is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did Parkrose Family Dentistry, P.C. receive its 1295811180 assignment from the Centers for Medicare & Medicaid Services?
The Parkrose Family Dentistry, P.C. was assigned its 1295811180 on 2006-10-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Parkrose Family Dentistry, P.C. most recently updated or refreshed?
The details pertaining to the Parkrose Family Dentistry, P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.