Individual provider · Type 1 NPI
Amy Nicole Lacoste, DMD
Periodontics · Tigard, OR
NPI number
1518699263
Active
Practice location
12025 SW 70th Ave
Tigard, OR 97223-9634
Mailing address
12705 SW Trask St
Beaverton, OR 97007-3024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | D11898 (OR) |
| Periodontics Primary | 1223P0300X | D11898 (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.
2 other providers at this address
Other periodontics providers in Tigard
- Cynthia A. Layport, DMDPeriodontics Tigard, OR NPI 1104825942
- Krista Lowen, DDS, MSDPeriodontics Tigard, OR NPI 1487918793
- Sunil Dev Thanik, DMD MSDPeriodontics Tigard, OR NPI 1649250317
- Bharathi Devi Myneni, BDSPeriodontics Tigard, OR NPI 1689737785
- Bradley McAllister, DDS, PhDPeriodontics Tigard, OR NPI 1922387240
About NPI 1518699263
Amy Nicole Lacoste, DMD's National Provider Identifier is 1518699263, issued on Jun 29, 2022. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tigard, OR. The record was last updated on Aug 20, 2025.