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EMERGENCY TOOTH DOCTOR EAST
NPI 1629279674
Dentist - General Practice in Portland, OR

Active since May 29, 2007
12596 SE STARK ST, PLAZA 125 BLDG N, PORTLAND, OR 97233(503) 252-9657(503) 256-6909 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Emergency Tooth Doctor East NPPES

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

EMERGENCY TOOTH DOCTOR EAST (NPI 1629279674) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since May 2007. The organization lists Thomas T Pham, President, as its authorized official.

NPPES Registry Identity

NPI1629279674
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEMERGENCY TOOTH DOCTOR EAST, PC
Location Address12596 SE STARK ST, PLAZA 125 BLDG NPortland, OR 97233-1056
Mailing Address12596 Se Stark St, Plaza 125 Bldg NPortland, OR 97233-1056 · (503) 252-9657 · Fax (503) 256-6909
Phone(503) 252-9657
Fax(503) 256-6909
Organization SubpartNo
Authorized OfficialThomas T PhamPresident · (503) 252-9657
Enumeration DateMay 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629279674 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 · D8300
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.
12596 SE STARK ST, Portland, OR 97233
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Other Names 1

Doing Business AsEmergency Tooth Doctor East

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

Other Providers at the Same Location NPPES

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

DR. HIEU PHAM
Dentist
12596 SE STARK ST, BLDG N
PORTLAND, OR 97233
Multnomah County (503) 528-4758

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 Emergency Tooth Doctor East, PC's NPI number?

The NPI number for Emergency Tooth Doctor East, PC is 1629279674. It was assigned to this organization in the NPPES registry on May 29, 2007. The provider is doing business as Emergency Tooth Doctor East.

Where is Emergency Tooth Doctor East, PC located?

Emergency Tooth Doctor East, PC is located at 12596 SE Stark St Plaza 125 Bldg N, Portland, OR 97233. The listed phone number is (503) 252-9657.

What is Emergency Tooth Doctor East, PC'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 Emergency Tooth Doctor East, PC 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 5 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.