Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508809104 Individual Practitioner Male Practitioner

Dr. Timothy John Boehm , DMD

Dentist - General Practice • Salem, OR

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Boehm, DMD is a registered healthcare professional specializing in Dentist - General Practice in Salem, OR. Practice services are available at 3000 MARKET ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3000 Market St Ne

Salem, OR 973011882

Telephone 5035855205
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Salem, OR

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

Practicing in Salem, 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 D5027

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
027914 (OR)

Practice Associates & Co-Workers

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

10 Associated Practitioners
NPI 1023446671

Bachelor of Science, Registered Dental Hygienist, EPDH

NPI 1083982672

Registered Dental Hygienist, EPDH

Kathleen Nelson

Dental Hygienist

NPI 1205652955
Julie Flager , RDH

Dental Hygienist

NPI 1326498213

Registered Dental Hygienist

Allyson Warren

Dental Hygienist

NPI 1366832578
Ashly Groom

Dental Hygienist

NPI 1417691072

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 26, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2012

Registered at 3000 MARKET ST NE, SALEM, OR 973011882 (Tel: 5035855205)

📍
Updated Business Mailing Address April 26, 2012

Registered at 1488 BOULDER CREEK ST SE, SALEM, OR 973016958 (Tel: 5039996115)

👤
Provider Name / Credentials Updated April 26, 2012

Recorded as TIMOTHY BOEHM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2012

Dentist (License #D5027 in OR)

🟢
Initial NPI Registration & Enumeration June 13, 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: 1508809104
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2006
Last Update: April 26, 2012
Sole Proprietor: Yes

Mailing Address

1488 Boulder Creek St Se

Salem, OR 973016958

Phone: 5039996115

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.