TIMBER DENTAL
NPI 1639504715
Dentist in Portland, OR

Active since September 09, 2013
3500 NE MLK, PORTLAND, OR 97212(971) 506-3407 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist

About TIMBER DENTAL

This page provides the complete NPI Profile along with additional information for Timber Dental, a provider established in Portland, Oregon operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1639504715 assigned on September 2013. The practitioner's primary taxonomy code is 122300000X with license number D9561 (OR). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Timber Dental. The authorized official of this NPI record is Dr. Matthew Ryan Kathan Dds (Dentist Owner)

NPI
1639504715 Verify this NPI
Provider Legal Name
TIMBER DENTAL LLC
Other Organization Name
TIMBER DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3500 NE MLK PORTLAND, OR 97212
Location Phone
(971) 506-3407
Mailing Address
5400 NE RODNEY AVE PORTLAND, OR 97211
Mailing Phone
(971) 506-3407
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-09-2013
Last Update Date
09-09-2013
Code Navigator

A dentist like Timber Dental is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
D9561
License State
OR
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MATTHEW RYAN KATHAN DDS

Authorized Official Title
DENTIST OWNER
Authorized Official Phone
(971) 506-3407

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639504715, enumerated as an "organization" on September 09, 2013.

The provider is located at 3500 NE MLK PORTLAND, OR 97212 and the phone number is (971) 506-3407.

Dentist with taxonomy code 122300000X.