Provider Demographics
NPI:1760548317
Name:ERNEST NG, D.M.D., PC
Entity Type:Organization
Organization Name:ERNEST NG, D.M.D., PC
Other - Org Name:CHEUNG KWAN ERNEST NG, D.M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:
Authorized Official - Last Name:NG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:503-284-8882
Mailing Address - Street 1:2556 NE 56TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-3407
Mailing Address - Country:US
Mailing Address - Phone:503-284-8882
Mailing Address - Fax:
Practice Address - Street 1:2556 NE 56TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-3407
Practice Address - Country:US
Practice Address - Phone:503-284-8882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD67651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty