Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225012123 Individual Practitioner Male Practitioner

Dr. Edwin Charles Thoreson , DMD

Dentist - General Practice • Estacada, OR

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Thoreson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Estacada, OR. Practice services are available at 630 N BROADWAY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

630 N Broadway St

Estacada, OR 970238584

Telephone 5036304219
Fax 5036304238
Associated Practice Facility / Clinic
🏢 Estacada Family Dental, Llc Facility NPI 1366059768

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Estacada, OR

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

Practicing in Estacada, 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 D4884

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

2 Associated Practitioners
NPI 1255515698

Doctor of Dental Surgery

Dr. Paul Hansen , DMD

Dentist - General Practice

NPI 1699717868

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 31, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2015

Registered at 630 N BROADWAY ST, ESTACADA, OR 970238584 (Tel: 5036304219)

📍
Updated Business Mailing Address March 31, 2015

Registered at P.O. BOX 929, ESTACADA, OR 97023 (Tel: 5036304219)

👤
Provider Name / Credentials Updated March 31, 2015

Recorded as EDWIN THORESON, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2015

Dentist (License #D4884 in OR)

🟢
Initial NPI Registration & Enumeration December 04, 2005

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: 1225012123
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2005
Last Update: March 31, 2015
Sole Proprietor: Yes

Mailing Address

P.o. Box 929

Estacada, OR 97023

Phone: 5036304219

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.