Individual provider · Type 1 NPI

Priya Thakker, DMD

General Practice Dentistry · Portland, OR

NPI number 1366079824 Active

Practice location

12750 SE Stark St Bldg E
Portland, OR 97233-1539

Call (971) 347-3009 Map

Fax (971) 256-3277

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD11388 (OR)

General Practice Dentistry: 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.

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About NPI 1366079824

Priya Thakker, DMD's National Provider Identifier is 1366079824, issued on Mar 25, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Sep 16, 2025.