Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLAS TANNER MAXIM, DMD
ActiveDR. NICOLAS TANNER MAXIM, DMD is a Dentist healthcare provider located in BEAVERTON, Oregon. NPI 1972118396 is currently active in the NPPES registry. Verify at CMS.
Dentist · BEAVERTON, OR
Registration Details
- NPI Number
- 1972118396
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2020 (5.9017371544158 yrs)
- Last Updated
- Sep 9, 2022
- Licenses
-
D11326 (OR)D11326 (OR)
Practice Information
- Address
-
14845 SW MURRAY SCHOLLS DR STE 113BEAVERTON, OR, 970079237Browse OR providers · Browse ZIP 97007
- Phone
- 5035907574
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in BEAVERTON, OR
| Name | Credential | NPI |
|---|---|---|
| MELODEE S TRAN | DMD | 1386605871 |
| DR. MAN VAN CHAU | DMD | 1366491409 |
| DR. BRADLEY F. MARINEAU | D.M.D. | 1841204617 |
| DR. MARGARET JANE MCEWEN | DDS | 1437168077 |
| DR. JODI DOTSON | D.M.D. | 1114009180 |
| DR. THOMAS JOSEPH DEIMLING | DMD | 1306916010 |
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.