- Practice location
- 11673 SW Beaverton Hillsdale Hwy, Beaverton, OR 97005-2928
- Phone
- 503-641-4328
- Fax
- 503-644-8454
- Last updated
- August 30, 2012
Beaverton Dental Center LLC is a healthcare organization based in Beaverton, OR. Beaverton Dental Center LLC practices in Beaverton, OR. The NPI Number for Beaverton Dental Center LLC is 1023367513 and holds a License No. 27130 (OR). The current practice location address for Beaverton Dental Center LLC is 11673 SW Beaverton Hillsdale Hwy, Beaverton, OR 97005-2928 and can be reached out via phone at 503-641-4328 and via fax at 503-644-8454.
Provider Profile Details
- NPI Number
- 1023367513
- Provider Name
- Beaverton Dental Center LLC
- Provider Entity Type
- Organization
- Address
- 11673 SW Beaverton Hillsdale Hwy, Beaverton, OR 97005-2928
- Phone Number
- 503-641-4328
- Fax Number
- 503-644-8454
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- John Williams · Owner · 503-641-4328
- Provider Enumeration Date
- August 30, 2012
- Last Update Date
- August 30, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11673 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-2928 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-2928
- Phone Number
- 503-641-4328
- Fax Number
- 503-644-8454
Provider Business Mailing Address Details
- Address
- 11673 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-2928 - City
- Beaverton
- State
- OR
- Zip
- 97005-2928
- Phone Number
- 503-641-4328
- Fax Number
- 503-644-8454
License Information
- License Number (1)
- 27130
- License State (1)
- OR
- Taxonomy (1)
- Denturist · 122400000X
- License Number (2)
- 2004
- License State (2)
- OR
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Beaverton, OR
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Frequently Asked Questions
What is the NPI number of Beaverton Dental Center LLC?
The NPI number of Beaverton Dental Center LLC is 1023367513. It was assigned on August 30, 2012 and is currently active in the NPPES registry.
What is the specialty of Beaverton Dental Center LLC?
Beaverton Dental Center LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in OR under license number 27130.
Where does Beaverton Dental Center LLC practice?
The practice location is 11673 SW Beaverton Hillsdale Hwy, Beaverton, OR 97005-2928. The office can be reached at 503-641-4328 (phone) or 503-644-8454 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023367513 directly on the NPPES registry website.