Parkrose Family Dentistry, P.C.

LBN: Parkrose Family Dentistry, P.C.
Parkrose Family Dentistry, P.C. is an health care organization with primary practice located at 3620 Ne 122Nd Ave , Portland OR 97230-1365. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Parkrose Family Dentistry, P.C. can be contacted via phone (503) 254-5575, or through Tieu, Thomas Thanh via phone (503) 254-5575.

Contact Information

Primary practice address
3620 Ne 122Nd Ave Portland OR 97230-1365
Phone: (503) 254-5575
Fax: (503) 254-2162
Website:
Map and Directions
Authorized official contact:
Name: Tieu, Thomas Thanh Doctor of Dental Medicine (DMD)
Phone: (503) 254-5575

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D7324 Oregon

Profile Details

NPI number 1295811180
LBN Legal business name Parkrose Family Dentistry, P.C.
DBA Doing business as
Authorized official Tieu, Thomas Thanh Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295811180 NPPES
Oregon Other D7324 STATE LICENSE NUMBER

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