DR. EDWIN DAVID GRANUM (NPI# 1841369287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841369287 |
| Entity Type | Individual |
| Full Name | DR. EDWIN DAVID GRANUM |
| Other Name | DR. E. DAVID GRANUM |
| Credential | D.M.D. |
| Practice Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 5039522164 |
| Practice Fax Number | 5035264418 |
| Mailing Telephone | 5039522164 |
| Mailing Fax Number | 5035264418 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
8268 | WA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5833 | OR | Dental Providers |
| Street Address |
6950 NE CAMPUS WAY |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437608973 | Nicholas Skourtes | Dentist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2016-09-26 |
| 1083002190 | Aleksandr Lyashenko | Dentist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2014-12-26 |
| 1881001337 | Eugenia Trusov | Denturist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2014-07-16 |
| 1184947384 | Donald Dean Carter | Dentist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2010-03-02 |
| 1376713867 | Francine Margaret Berryhill | Dental Hygienist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2008-03-11 |
| 1033387337 | Kaliska G Pacheco | Dentist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2008-02-20 |
| 1851579874 | Helen Louise Massar | Dental Hygienist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2008-01-31 |
| 1790977791 | Edward Chul Park | Dentist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2007-08-14 |
| 1386848695 | Willamette Dental Group, P.C. | Dentist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2007-06-12 |
| 1457554016 | Eugene C. Skourtes, Inc., Ps | Dentist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2007-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| 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 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| 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 |
| Find all providers in HILLSBORO | ||||
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| 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.