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Active NPI 1710947494 Individual Practitioner Male Practitioner

Dr. Ian Pham , DMD

Dentist - General Practice • Tualatin, OR

Professional Overview & Biography Verified Profile Summary

Dr. Ian Pham, DMD is a registered healthcare professional specializing in Dentist - General Practice in Tualatin, OR. Practice services are available at 18791 SW BOONES FERRY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18791 Sw Boones Ferry Rd
Suite 3

Tualatin, OR 970628412

Telephone 5036926552
Fax 5036921452

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tualatin, OR

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

Practicing in Tualatin, 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 D7808

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

Commercial Insurance / Payer ID State License
D7808 (OR)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active December 01, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2010

Registered at 18791 SW BOONES FERRY RD, SUITE 3, TUALATIN, OR 970628412 (Tel: 5036926552)

📍
Updated Business Mailing Address December 01, 2010

Registered at 18791 SW BOONES FERRY RD, SUITE 3, TUALATIN, OR 970628412 (Tel: 5036926552)

👤
Provider Name / Credentials Updated December 01, 2010

Recorded as IAN PHAM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2010

Dentist (License #D7808 in OR)

🟢
Initial NPI Registration & Enumeration March 25, 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: 1710947494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2006
Last Update: March 07, 2023
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

18791 Sw Boones Ferry Rd, Suite 3

Tualatin, OR 970628412

Phone: 5036926552

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.