EMERGENCY TOOTH DOCTOR HILLSBORO, PROF. CORP. (NPI# 1124569769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124569769 |
| Entity Type | Organization |
| Organization Name | EMERGENCY TOOTH DOCTOR HILLSBORO, PROF. CORP. |
| Other Organization Name | EMERGENCY TOOTH DOCTOR HILLSBORO |
| Practice Address |
752 Se Oak St Hillsboro OR 97123 |
| Mailing Address |
405 Se 8th Ave Hillsboro OR 97123-4211 |
| Practice Telephone | 5036819968 |
| Mailing Telephone | 5036819968 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | DR. THOMAS T PHAM (DENTIST) |
| Authorized Official Telephone | 9712266233 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D8300 | OR | Dental Providers |
| Other Name | Type Code |
|---|---|
| Emergency Tooth Doctor Hillsboro | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EMERGENCY TOOTH DOCTOR HILLSBORO, PROF. CORP. | 405 Se 8th Ave, Hillsboro, OR 97123 |
| Street Address |
752 SE OAK ST |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1164979704 | Jessicalin Brodo Ribellia | Dental Assistant | 1118 Se Bacarra St., Hillsboro, OR 97123 | 2016-09-01 |
| Find all providers in zip 97123 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742198 | Geoffrey Houf | Dentist | 5880 Ne Cornell Rd Ste D, Hillsboro, OR 97124-9075 | 2020-08-28 |
| 1811506322 | Ruiwei Liang | Dentist | 547 Se 73rd Ave, Hillsboro, OR 97123-6199 | 2020-07-30 |
| 1659928034 | Sahaj Singh Nijjar | Dentist | 2790 Ne 106th Ave Ste A, Hillsboro, OR 97124-7449 | 2019-08-21 |
| 1497134290 | Hillsboro Dental Excellence, LLC | Dentist | 324 Se 9th Ave Ste B, Hillsboro, OR 97123-4247 | 2015-05-26 |
| 1508252404 | Nicholas Brammer | Dentist | 1001 Se Tualatin Valley Hwy Ste A16, Hillsboro, OR 97123-4977 | 2015-04-08 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1063847390 | Infinity Dental Care | Dentist | 5325 W Baseline Rd, 5325, Hillsboro, OR 97123-6447 | 2013-09-05 |
| 1033488838 | East Wind Dental Care | Dentist | 7546 Ne Shaleen St, Hillsboro, OR 97124-9430 | 2011-12-22 |
| 1366633240 | William Dalton Thomas IIi | Dentist | 4503 Us 62, Hillsboro, OH 45133 | 2007-08-06 |
| 1760697577 | Jack G. Garvin | Dentist | 620 Se Oak St Ste C, Hillsboro, OR 97123-4160 | 2007-05-14 |
| Find all providers in HILLSBORO | ||||
Please comment or provide details below to improve the information on EMERGENCY TOOTH DOCTOR HILLSBORO, PROF. CORP..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.