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Active NPI 1700942778 Individual Practitioner Male Practitioner

Dr. Lich Van Khuong , DDS

Dentist - General Practice • Beaverton, OR

Professional Overview & Biography Verified Profile Summary

Dr. Lich Khuong, DDS is a registered healthcare professional specializing in Dentist - General Practice in Beaverton, OR. Practice services are available at 12520 SW 1ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12520 Sw 1st St

Beaverton, OR 970050550

Telephone 5036465230
Fax 5036261813
Associated Practice Facility / Clinic
🏢 Sandy Dental Clinic Pc Facility NPI 1699818088

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
91 Specialists

Practicing in Beaverton, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D7551

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. My Dang , DDS

Dentist - General Practice

NPI 1215938329

Doctor of Dental Surgery

NPI 1699175620

Doctor of Dental Medicine

Pawandeep Sekhon

Dentist - General Practice

NPI 1932529914

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2016

Registered at 12520 SW 1ST ST, BEAVERTON, OR 970050550 (Tel: 5036465230)

📍
Updated Business Mailing Address September 22, 2016

Registered at 12520 SW 1ST ST, BEAVERTON, OR 970050550 (Tel: 5036465230)

👤
Provider Name / Credentials Updated September 22, 2016

Recorded as LICH KHUONG, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2016

Dentist (License #D7551 in OR)

🟢
Initial NPI Registration & Enumeration December 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700942778
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2006
Last Update: September 22, 2016
Sole Proprietor: No

Mailing Address

12520 Sw 1st St

Beaverton, OR 970050550

Phone: 5036465230

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.