Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicolas Tanner Maxim, DMD

Individual provider General Practice Dentistry · NPI 1972118396

Dr. Nicolas Tanner Maxim, DMD is a General Practice Dentistry in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

14845 SW Murray Scholls Dr Ste 113
Beaverton, OR 97007-9237
Phone: (503) 590-7574
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D11326 (OR)
General Practice Dentistry Taxonomy 1223G0001X · Licence D11326 (OR)

Record details

NPI number1972118396
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 11, 2020
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022

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