Individual provider · Type 1 NPI

Bradley McAllister, DDS, PhD

Periodontics · Tigard, OR

NPI number 1922387240 Active

Practice location

11525 SW Durham Rd, Ste. D-6
Tigard, OR 97224-3475

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 1922387240

Bradley McAllister, DDS, PhD's National Provider Identifier is 1922387240, issued on Aug 4, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tigard, OR. The record was last updated on Aug 4, 2011.