DR. EDWIN CHARLES THORESON D.M.D.
NPI 1225012123
Dentist - General Practice in Estacada, OR

Active since December 04, 2005
630 N BROADWAY ST, ESTACADA, OR 97023(503) 630-4219(503) 630-4238 Get Directions Write a Review

NPPES record last updated: March 31, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edwin Charles Thoreson D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWIN CHARLES THORESON D.M.D. (NPI 1225012123) is an individual general practice provider in Estacada, Oregon, licensed in Oregon (D4884) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1225012123
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EDWIN CHARLES THORESONCredential: D.M.D.
Location Address630 N BROADWAY STEstacada, OR 97023-8584
Mailing AddressP.o. Box 929Estacada, OR 97023 · (503) 630-4219 · Fax (503) 630-4238
Fax(503) 630-4238
Sole ProprietorYes
Enumeration DateDecember 4, 2005
Last NPPES UpdateMarch 31, 2015
NPI 1225012123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · D4884
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.
630 N BROADWAY ST, Estacada, OR 97023

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
630 N BROADWAY ST
ESTACADA, OR 97023
Dentist (General Practice)
630 N BROADWAY ST
ESTACADA, OR 97023
Dentist (General Practice)
630 N BROADWAY ST, PO BOX 929
ESTACADA, OR 97023

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Thoreson's NPI number?

The NPI number for Edwin Thoreson is 1225012123. It was assigned to this individual provider in the NPPES registry on December 4, 2005.

Where is Edwin Thoreson located?

Edwin Thoreson practices at 630 N Broadway St, Estacada, OR 97023. The listed phone number is (503) 630-4219.

What is Edwin Thoreson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Edwin Thoreson was last updated on March 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.