OrganizationActive
Emergency Tooth Doctor East, PC
NPI 1629279674 · General Practice Dentistry · Portland, OR
Emergency Tooth Doctor East, PC is a General Practice Dentistry organization in Portland, OR (NPI 1629279674).
Provider details
- NPI number
- 1629279674
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Thomas Pham, President(503) 252-9657
- License
- D8300 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 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
12596 Se Stark St
Plaza 125 Bldg N
Portland, OR 97233-1056
Phone: (503) 252-9657
Fax: (503) 256-6909
Street-level locationGet directions
Mailing address
12596 Se Stark St
Portland, OR 97233-1056
Other names (DBA / former)
- Doing business as
- Emergency Tooth Doctor East
Registry dates
- Enumerated
- 2007-05-29
- Last updated
- 2020-08-22
Frequently asked questions
- What is Emergency Tooth Doctor East, PC's NPI number?
- Emergency Tooth Doctor East, PC's National Provider Identifier (NPI) is 1629279674, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Emergency Tooth Doctor East, PC?
- Emergency Tooth Doctor East, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Emergency Tooth Doctor East, PC located?
- Emergency Tooth Doctor East, PC's practice location on file with NPPES is 12596 Se Stark St, Portland, OR 97233-1056.
- What is Emergency Tooth Doctor East, PC's phone number?
- The practice phone number listed in the NPPES registry for Emergency Tooth Doctor East, PC is (503) 252-9657.
- Who is the authorized official for Emergency Tooth Doctor East, PC?
- The authorized official listed on Emergency Tooth Doctor East, PC's NPPES record is Thomas Pham, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Emergency Tooth Doctor East, PC's NPI active?
- Yes — Emergency Tooth Doctor East, PC's NPI (1629279674) is active in the NPPES registry as of the last update on 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.