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Deactivated NPI 1700978301 Deactivated / Inactive NPI Male Practitioner

Dr. Edgar Kam Shiroma , DDS

Dentist - General Practice • Tillamook, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edgar Shiroma has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 29, 2006
NPI Deactivation Date April 10, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Edgar Shiroma, DDS was a registered Dentist - General Practice practicing in Tillamook, OR. Throughout an active medical career spanning 19 years, Dr. Shiroma provided care at the practice location at 2110 9TH ST STE B until profile deactivation on 2025-04-10.

Practice Location & Contact Primary Location

Practice Address

2110 9th St Ste B

Tillamook, OR 971413950

Telephone 5038427700
Fax 5038427727
Associated Practice Facility / Clinic
🏢 Christopher R Opdahl Dds Pc Facility NPI 1083933600

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tillamook, OR

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

Practicing in Tillamook, 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 D4979

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

1 Associated Practitioners
Dr. Christopher Opdahl , DDS

Dentist - General Practice

NPI 1619296316

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 10, 2025

Record deactivated on April 10, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2110 9TH ST STE B, TILLAMOOK, OR 971413950 (Tel: 5038427700)

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Updated Business Mailing Address July 08, 2007

Registered at 2110 9TH ST STE B, TILLAMOOK, OR 971413950 (Tel: 5038427700)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EDGAR SHIROMA, D.D.S.

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

Dentist (License #D4979 in OR)

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Initial NPI Registration & Enumeration September 29, 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: 1700978301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2006
Last Update: July 08, 2007
Deactivation Date: April 10, 2025

Mailing Address

2110 9th St Ste B

Tillamook, OR 971413950

Phone: 5038427700

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.