Individual provider · Type 1 NPI
Matt James Hoidal, DDS, M.S.
Periodontics · Lake Oswego, OR
NPI number
1164605259
Active
Practice location
300 Oswego Pointe Dr, Ste 106
Lake Oswego, OR 97034-3254
Fax (503) 635-6813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | D9075 (OR) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
About NPI 1164605259
Matt James Hoidal, DDS, M.S.'s National Provider Identifier is 1164605259, issued on Dec 11, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Lake Oswego, OR. The record was last updated on Sep 26, 2012.