Emergency Dentist of Milwaukie Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7463 Issued in OR

Legal business name

EMERGENCY DENTIST OF MILWAUKIE INC

Practice address

18807 SE McLoughlin Blvd
Milwaukie, OR 97267-6735

Phone

(503) 644-1126

Fax

(503) 644-0692

NPI assigned

Oct 14, 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": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1346791308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18807 SE MCLOUGHLIN BLVD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972676735",
            "telephone_number": "503-644-1126",
            "fax_number": "503-644-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18807 SE MCLOUGHLIN BLVD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972676735",
            "telephone_number": "503-644-1126",
            "fax_number": "503-644-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY DENTIST OF MILWAUKIE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "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": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaezpr Ellys
• Paul Elmore, MA, MS, LPC
• Rodel Capena Elpedes, PTA
• Justine Strach Elstad, CSWA
• Embodiment Evolution, LLC (Eric Van Leeuwen, LMT)
• Hannah Grace Emerson
• Brett Lee Englund, PTA
• Carl Michael Erickson, D.O.
• Patrick Erickson, DO
• Erwin Weichel, DMD Ms PC

• General Practice Dentistry in Milwaukie, OR
• Providers in Milwaukie, 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 Oct 14, 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.