5 Star Smiles Dentistry – Dentist in Beaverton, OR

Key facts

NPI: 1003574336
Entity type: Organization (NPI type 2)
Primary specialty: Dentist 122300000X
Legal business name: 5 STAR SMILES DENTISTRY
Practice address: 16755 SW Baseline Rd Ste 106
Beaverton, OR 97006-4284
Phone: (203) 645-4016
NPI assigned: Dec 3, 2021
Organization subpart: No

Authorized official

Name: Dr. Moustapha Sy, DDS NPI 1043834997
Title: Owner/Dentist
Phone: (203) 500-1276

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Moustapha Sy, DDS General Practice Dentistry · Beaverton, OR · NPI 1043834997

NPD Authorized official DENTIST

National Provider Directory

Locations

16755 SW Baseline Rd
Ste 106
Beaverton, OR 97006
Phone (203) 645-4016

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist Group: 193400000X SINGLE SPECIALTY GROUP	122300000X			Yes

Addresses

Primary practice location

16755 SW Baseline Rd Ste 106
Beaverton, OR 97006-4284

Mailing address

9559 SW Anna Belle CT
Tigard, OR 97223-3349
Phone (203) 500-1276

Other providers in Beaverton, OR

All providers in Beaverton, OR · Dentist in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.