NPI 1730661794 · live from the CMS NPI Registry
Jesse Thomas Achatz
Dentist, General Practice in Wilsonville, OR. National Provider Identifier 1730661794, active.
NPI record
| NPI | 1730661794 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 8263 Sw Wilsonville Rd Ste C, Wilsonville, OR 97070 |
| Practice phone | 503-260-8541 |
| Mailing address | 117 W Barbaras Way, Newberg, OR 97132 |
| Enumerated | September 5, 2018 |
| Last updated | July 6, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | d10905 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.