Edward D. Lacy, D.M.D., P.C.

General Practice Dentistry · Tualatin, OR

Individual Active NPI

NPI number 1104076926

Practice location

8220 SW Warm Springs St
Suite 200
Tualatin, OR 97062-9338
Phone
(503) 692-0337
Fax
(503) 692-0792

Open in Google Maps

NPI record

NPI
1104076926
Entity type
Individual (Type 1)
Enumeration date
September 29, 2008
Last updated
September 29, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D4844 OR

About Dr. Lacy

Edward D. Lacy, D.M.D., P.C. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8220 SW Warm Springs St, Suite 200, Tualatin, OR 97062-9338. The NPI number 1104076926 was assigned on September 29, 2008 and the record was last updated on September 29, 2008.

Dr. Lacy lists a license in the registry: #D4844 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edward D. Lacy, D.M.D., P.C.?

The NPI number is 1104076926.

What is the phone number of Dr. Lacy?

The phone number listed for the practice location is (503) 692-0337.

Where is Dr. Lacy located?

8220 SW Warm Springs St, Suite 200, Tualatin, OR 97062-9338.

What is the taxonomy code for Dr. Lacy?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Tualatin

All General Practice Dentistry providers in Tualatin, OR →