Individual provider · Type 1 NPI

Joseph J. Radakovich, DMD

Oral and Maxillofacial Surgery (Dentist) · Portland, OR

NPI number 1689698466 Active

Practice location

5050 NE Hoyt St, Suite 322
Portland, OR 97213

Fax (503) 230-0344

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD6195 (OR)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1689698466

Joseph J. Radakovich, DMD's National Provider Identifier is 1689698466, issued on Jul 26, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.