Organization · Type 2 NPI

Zola Dental Portland Llc, Dr. Anthony Paventy,dmd

Dental Clinic/Center · Beaverton, OR

NPI number 1487318416 Active

Practice location

8285 SW Nimbus Ave Ste 185
Beaverton, OR 97008-6465

Call (503) 646-1931 Map

Fax (503) 520-1205

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

Cloud Nine Dental Care LLCDental Clinic/Center Beaverton, OR NPI 1457851495
Cloud Nine Nimbus Dental LLCDental Clinic/Center Beaverton, OR NPI 1801588603

Other dental clinic/center providers in Beaverton

See all in Beaverton →

NPI record

NPI: 1487318416
Entity type: Organization (Type 2)
Issued: Oct 26, 2021
Last updated: Nov 2, 2021
Status: Active

Other names

<unavail>
Cloud Nine Dental · doing business as
Cloud Nine Dental · doing business as

Authorized official

Dr. Michael Yesenofski, DDS
Associate Dentist
(503) 646-1931

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487318416

Zola Dental Portland Llc, Dr. Anthony Paventy,dmd's National Provider Identifier is 1487318416, issued on Oct 26, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Beaverton, OR. The record was last updated on Nov 2, 2021.