Big Tooth Little Tooth Pediatric Dentistry PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BIG TOOTH LITTLE TOOTH PEDIATRIC DENTISTRY PC

Practice address

2020 8TH Ave Ste 121
West Linn, OR 97068-4657

Phone

(503) 305-6505

NPI assigned

Aug 28, 2018

Organization subpart

No

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

Authorized official

Name

Benjamin PhamNPI 1922434562

Title

President

Phone

(503) 305-6505

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Benjamin Pham, DMD

  • Pediatric Dentistry
  • West Linn, OR
  • NPI 1922434562
  NPD (past) Authorized official

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1366923245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 8TH AVE STE 121",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 8TH AVE STE 121",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684657",
            "telephone_number": "503-305-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG TOOTH LITTLE TOOTH PEDIATRIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-305-6505"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeni Bennett
• Mary Bergeron
• Robert James Bergstrom, DMD
• Susan M. Bernt, M.S.W., LCSW, LICSW
• Tiffany Marie Bieker, LMT
• Mo Biria, DMD
• Rose Marie Blacklidge, LMT
• Lori J Blain, DC
• Kristen Blake
• Body, Heart &Soul Massage

• Pediatric Dentistry in West Linn, OR
• Providers in West Linn, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.