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

Emergency Tooth Doctor Vancouver, PC

Organization General Practice Dentistry · NPI 1730578360

Emergency Tooth Doctor Vancouver, PC provides General Practice Dentistry in Beaverton, Oregon. Licensed in Washington. Registered with an NPI since 2015.

Licensed in
WA
In the registry since
2015
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

14665 SW Millikan Way
Beaverton, OR 97003-2999 Not confirmed with CMS for 11 years — call before visiting
Phone: (503) 641-2200
Fax: (503) 641-2220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DE 60190120 (WA)

Record details

NPI number1730578360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Pham — President/Dentist · (503) 641-2200
NPI enumeratedJanuary 20, 2015
Last updated in NPPESJanuary 20, 2015
Mailing address400 W Fourth Plain Blvd, Vancouver, WA 98660-2141

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