Organization · Type 2 NPI

Ponderosa Pines Periodontics

Periodontics · Portland, OR

NPI number 1780580498 Active

Practice location

7600 SE Division St
Portland, OR 97206-1058

Call (480) 748-8123 Map

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone listed

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.

3 other providers at this address

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About NPI 1780580498

Ponderosa Pines Periodontics's National Provider Identifier is 1780580498, issued on Oct 19, 2026. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Portland, OR. The record was last updated on Oct 19, 2026.