OrganizationActive
Edward D. Lacy, DMD. Fagd, PC
NPI 1043369598 · General Practice Dentistry · Tualatin, OR
Provider details
- NPI number
- 1043369598
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Edward Lacy, President(503) 692-0337
- License
- D4844 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8220 Sw Warm Springs St
Suite 200
Tualatin, OR 97062-9097
Phone: (503) 692-0337
Fax: (503) 692-0792
Street-level locationGet directions
Mailing address
8220 Sw Warm Springs St
Tualatin, OR 97062-9097
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.