Organization · Type 2 NPI

Periodontal Associates, LLC

Periodontics · Tualatin, OR

NPI number 1669710331 Active

Practice location

18753 SW Martinazzi Ave
Tualatin, OR 97062-6808

Fax (503) 968-5419

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XD6900 (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.

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About NPI 1669710331

Periodontal Associates, LLC's National Provider Identifier is 1669710331, issued on Jan 30, 2013. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tualatin, OR. The record was last updated on Aug 24, 2015.