Emergency Tooth Doctor Hillsboro, Prof. Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8300 Issued in OR

Legal business name

EMERGENCY TOOTH DOCTOR HILLSBORO, PROF. CORP.

Practice address

752 SE Oak St
Hillsboro, OR 97123

Phone

(503) 681-9968

NPI assigned

Mar 15, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas T Pham, DMD

Title

Dentist

Phone

(971) 226-6233

Specialties & licenses 1

Addresses

Other names 1

• Emergency Tooth Doctor Hillsboro Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1124569769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SE 8TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234211",
            "telephone_number": "503-681-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 SE OAK ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "97123",
            "telephone_number": "503-681-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY TOOTH DOCTOR HILLSBORO, PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "971-226-6233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Tooth Doctor Hillsboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alice Elizabeth Ellison, P.T.
• Naeema Elmi, MD
• Nehad Elrody, RPH
• Justin D Elson, DMD
• Emergency Dentist of Hillsboro PC
• Carolyn Emerick, M.D.
• Marissa Emery, LMT
• Emi K Oda, LMT
• Kelsey Enderby, QMHA
• Jenny Kha Eng

• General Practice Dentistry in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.