Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emergency Tooth Doctor East, PC

Organization General Practice Dentistry · NPI 1629279674

Emergency Tooth Doctor East, PC provides General Practice Dentistry in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12596 SE Stark St Plaza 125 Bldg N
Portland, OR 97233-1056
Phone: (503) 252-9657
Fax: (503) 256-6909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D8300 (OR)

Record details

NPI number1629279674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Pham — President · (503) 252-9657
Other names Emergency Tooth Doctor East
NPI enumeratedMay 29, 2007
Last updated in NPPESAugust 22, 2020
Mailing address12596 Se Stark St, Plaza 125 Bldg N, Portland, OR 97233-1056

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