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Dr. Edwin Charles Thoreson, DMD
General Practice Dentistry in Estacada, Oregon
NPI 1225012123

Edwin Charles Thoreson is a General Practice Dentistry based in Estacada, OR and is specialized in General Practice. Edwin Charles Thoreson practices in Estacada, OR and has the professional credentials of DMD. The NPI Number for Edwin Charles Thoreson is 1225012123 and holds a License No. D4884 (Oregon).

The current practice location address for Edwin Charles Thoreson is 630 N Broadway St, Estacada, OR and can be reached out via phone at 503-630-4219 and via fax at 503-630-4238.

Location: 630 N Broadway St, Estacada, OR, 97023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225012123
Provider Name
Edwin Charles Thoreson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
630 N Broadway St, Estacada, OR, 97023
Phone Number
503-630-4219
Fax Number
503-630-4238
Provider Enumeration Date
12/04/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
630 N Broadway St
City
Estacada
State
Oregon
Zip
97023-8584
Phone Number
503-630-4219
Fax Number
503-630-4238
person
Provider Business Mailing Address Details
Address
630 N Broadway St
City
Estacada
State
Oregon
Zip
97023-8584
Phone Number
503-630-4219
Fax Number
503-630-4238
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D4884 (Oregon)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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