Organization · Type 2 NPI

Mountainside Family Dentistry LLC

Dentist · Portland, OR

NPI number 1295080836 Active

Practice location

3740 SE 122nd Ave
Portland, OR 97236-3405

Fax (503) 762-4872

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD8325 (OR)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1295080836

Mountainside Family Dentistry LLC's National Provider Identifier is 1295080836, issued on Jul 19, 2012. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Portland, OR. The record was last updated on Jul 19, 2012.