RAINIER PARK DENTAL
NPI 1467536318
Dentist - General Practice in Rainier, OR

Active since October 25, 2006
101 5TH ST W, RAINIER, OR 97048(503) 556-3744(503) 556-3134 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Rainier Park Dental NPPES

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

RAINIER PARK DENTAL (NPI 1467536318) is a healthcare organization registered as a general practice in Rainier, Oregon and active in the NPI registry since October 2006. The organization lists John Pham, President, as its authorized official.

NPPES Registry Identity

NPI1467536318
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTHREE RIVERS DENTAL
Location Address101 5TH ST WRainier, OR 97048
Mailing Address1515 Nw Louisiana AveChehalis, WA 98532 · (360) 740-6212 · Fax (360) 740-6222
Fax(503) 556-3134
Organization SubpartNo
Authorized OfficialJohn PhamPresident · (360) 740-6212
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1467536318 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 · D6843
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.
101 5TH ST W, Rainier, OR 97048

Other Names 1

Doing Business AsRainier Park Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Three Rivers Dental's NPI number?

The NPI number for Three Rivers Dental is 1467536318. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as Rainier Park Dental.

Where is Three Rivers Dental located?

Three Rivers Dental is located at 101 5th St W, Rainier, OR 97048. The listed phone number is (503) 556-3744.

What is Three Rivers Dental'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 Three Rivers Dental was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.