Individual
DR. EDWARD MEAD THATCHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S., D.M.D.
Contact information
Practice address
132 E BROADWAY, SUITE 629, EUGENE, OR 97401-3143
(541) 686-8326
(541) 345-0933
Mailing address
132 E BROADWAY, SUITE 629, EUGENE, OR 97401-3143
(541) 686-8326
(541) 345-0933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5999
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026641
ODHS
OR
Enumeration date
07/19/2005
Last updated
07/08/2007
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