Emergency Dentist of Hillsboro PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D7463 Issued in OR

Legal business name

EMERGENCY DENTIST OF HILLSBORO PC

Practice address

3075 SE Century Blvd Ste 107
Hillsboro, OR 97123-8187

Phone

(503) 747-5607

Fax

(971) 228-8117

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

John J Lee, DDS

Title

Owner

Phone

(503) 644-1126

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1194272682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 SW 234TH AVE #107",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "97123",
            "telephone_number": "503-747-5607",
            "fax_number": "971-228-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 SE CENTURY BLVD STE 107",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971238187",
            "telephone_number": "503-747-5607",
            "fax_number": "971-228-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY DENTIST OF HILLSBORO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-644-1126",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D7463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ellis
• Alice Elizabeth Ellison, P.T.
• Naeema Elmi, MD
• Nehad Elrody, RPH
• Justin D Elson, DMD
• Emergency Tooth Doctor Hillsboro, Prof. Corp.
• Carolyn Emerick, M.D.
• Marissa Emery, LMT
• Emi K Oda, LMT
• Kelsey Enderby, QMHA

• Dental Clinic/Center in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.