Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447371869 Individual Practitioner Male Practitioner

Dr. Nicholas George Mooberry , DDS

Dentist • Tigard, OR

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Mooberry, DDS is a registered healthcare professional specializing in Dentist in Tigard, OR. Practice services are available at 7095 SW GONZAGA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7095 Sw Gonzaga St

Tigard, OR 972238309

Telephone 8554336825
Associated Practice Facility / Clinic
🏢 Willamette Dental Facility NPI 1194143065

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Tigard, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
26 Specialists

Practicing in Tigard, OR (1289 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

CMS Verified: 2020-07-29
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D11147

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License AZ DO7002

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License AZ 7002

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.

Secondary Practice Locations

1757 N Swan Rd

Tucson, AZ 857123501

Phone: 5207957733

151 W Speedway Blvd

Tucson, AZ 857057613

Phone: 5206232733

2460 Willamette St

Eugene, OR 97405

Phone: 5414635206

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003268319

Doctor of Dental Medicine

Dr. Jefferson Gourley , DDS

Dentist - Endodontics

NPI 1003941170

Doctor of Dental Surgery

Dr. Jonathan Kim , DDS

Dentist - General Practice

NPI 1013568294

Doctor of Dental Surgery

NPI 1023520574

Doctor of Dental Surgery

Dr. Myriam Hamieh , DMD, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1023739224

Doctor of Dental Medicine, Master of Science

NPI 1023851755

Doctor of Dental Surgery

Career & Practice History Timeline

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

19 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Dentist (License #DO7002 in AZ)

📍
Updated Practice Location July 29, 2020

Registered at 7095 SW GONZAGA ST, TIGARD, OR 972238309 (Tel: 8554336825)

📍
Updated Business Mailing Address July 29, 2020

Registered at 6950 NE CAMPUS WAY, HILLSBORO, OR 971245611 (Tel: 8554336825)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2020

Dentist (License #D11147 in OR)

📍
Updated Practice Location November 04, 2019

Registered at 2460 WILLAMETTE ST, EUGENE, OR 97405 (Tel: 5414635206)

📍
Updated Business Mailing Address November 04, 2019

Registered at 2870 SPRING BLVE, EUGENE, OR 97403 (Tel: 5207806800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2019

Dentist (License #7002 in AZ)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dentist (License #DO7002 in AZ)

NPI Profile Active June 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2017

Registered at 151 W SPEEDWAY BLVD, TUCSON, AZ 857057613 (Tel: (520) 623-2733)

📍
Updated Business Mailing Address June 28, 2017

Registered at 7135 E FLAMENCO DR, TUCSON, AZ 857101303 (Tel: 5206646744)

👤
Provider Name / Credentials Updated June 28, 2017

Recorded as NICHOLAS MOOBERRY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2017

Dentist (License #7002 in AZ)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1757 N SWAN RD, TUCSON, AZ 857123501 (Tel: 5207957733)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1757 N SWAN RD, TUCSON, AZ 857123501 (Tel: 5207957733)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as NICHOLAS MOOBERRY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #7002 in AZ)

🟢
Initial NPI Registration & Enumeration April 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Nicholas Mooberry. Be the first to share your experience!

Sign in to leave a review for Dr. Nicholas Mooberry

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1447371869
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2007
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

6950 Ne Campus Way

Hillsboro, OR 971245611

Phone: 8554336825

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.