Thomas Thanh Tieu in Portland - General Practice

Thomas Thanh Tieu - NPI 1104901040

Thomas Thanh Tieu is a General Practice in Portland, Oregon. Thomas Thanh Tieu practices all healthcare services and medical treatments related to General Practice. The NPI Number for Thomas Thanh Tieu is 1104901040. The last update date is 2007-07-08.

Thomas Thanh Tieu's current location address is 3620 Ne 122nd Ave, Portland, Oregon. You can contact this provider via phone number 5032545575 and fax number 5032542161. The mailing address for Thomas Thanh Tieu is 3620 Ne 122nd Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Thanh Tieu
Address 3620 Ne 122nd Ave, Portland, Oregon
Phone Number 5032545575
Fax Number 5032542161
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1104901040
Provider Enumeration Date 2006-10-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3620 Ne 122nd Ave
City Portland
State Oregon (OR)
Post Code 972301365
Phone Number 5032545575
Fax Number 5032542161

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D7324
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D7324 OR OREGON STATE LICENSE

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FAQs about Thomas Thanh Tieu

What is the unique 10-digit identification code assigned to Thomas Thanh Tieu by the Centers for Medicare & Medicaid Services?

The Thomas Thanh Tieu has been issued the NPI (National Provider Identifier) 1104901040, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Thomas Thanh Tieu's facilities are geographically located?

The facilities of Thomas Thanh Tieu are physically situated at the following location: 3620 Ne 122Nd Ave, Portland, OR, 972301365.

What is the area of specialization for Thomas Thanh Tieu, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Thomas Thanh Tieu is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did Thomas Thanh Tieu receive its 1104901040 assignment from the Centers for Medicare & Medicaid Services?

The Thomas Thanh Tieu was assigned its 1104901040 on 2006-10-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Thomas Thanh Tieu last refreshed?

The information related to the Thomas Thanh Tieu, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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