Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWIN CHARLES THORESON, D.M.D.
Active Sole ProprietorDR. EDWIN CHARLES THORESON, D.M.D. is a General Dentistry healthcare provider located in ESTACADA, Oregon. NPI 1225012123 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ESTACADA, OR
Registration Details
- NPI Number
- 1225012123
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2005 (20.690755333429 yrs)
- Last Updated
- Mar 31, 2015
- License
-
D4884 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
630 N BROADWAY STESTACADA, OR, 970238584Browse OR providers · Browse ZIP 97023
- Phone
- 5036304219
- Fax
- 5036304238
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in ESTACADA, OR
| Name | Credential | NPI |
|---|---|---|
| PAUL S HANSEN | D.M.D. | 1699717868 |
| MR. RUSSELL EUGENE BIBB JR. | DMD | 1598866154 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.