Thomas Family Dentistry
Organization Active NPI Dental Clinic/Center · Beaverton, OR
NPI 1447589452 · NPPES record last updated Dec 22, 2009
Key facts
- NPI
- 1447589452
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- THOMAS FAMILY DENTISTRY
- Practice address
- 12575 SW 3Rd St
Beaverton, OR 97005-0517 - Phone
- (503) 644-7697
- Fax
- (503) 626-4618
- NPI assigned
- Dec 22, 2009
- Organization subpart
- No
Authorized official
- Name
- Melissa Cole Bothne
- Title
- Business Administrator and Owner
- Phone
- (503) 644-7697
Practitioners 3
-
Mazyar Afshar, DMD
-
Audrey Beth Milam, RDH
-
Kelly R. Thomas, D.M.D
National Provider Directory
Locations
12575 SW 3rd St
Beaverton, OR 97005
Phone (503) 644-7697
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
12575 SW 3Rd St
Beaverton, OR 97005-0517
Mailing address
12575 SW 3Rd St
Beaverton, OR 97005-0517
Phone (503) 644-7697
Other providers in Beaverton, OR
- Simone Rose Thibault
- Korey Thieleke
- Thinkbig, LLC, PSC
- Jenny Thom
- Thomas D Gilberts MD LLC
- David Thomas
- Jessica Annette Thomas
- Kelly R. Thomas
- Rebecca Reed Thomas
- Cherie Thompson
All providers in Beaverton, OR · Dental Clinic/Center 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 22, 2009. 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.