NPI 1003574336

5 Star Smiles Dentistry

Organisation Dentist Beaverton, OR

Practice location

Address: 16755 SW Baseline Rd STE 106, Beaverton, OR 97006-4284
Phone: (203) 645-4016
Mailing address: 9559 SW Anna Belle CT, Tigard, OR 97223-3349

Authorised official

Name: Moustapha Sy
Title: Owner/Dentist
Phone: (203) 500-1276

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1003574336
Entity type: Organization
NPI issued: 3 Dec 2021
Record last updated: 3 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.