- Practice location
- 12755 SW 2ND St, Beaverton, OR 97005-2767
- Phone
- 503-644-1126
- Fax
- —
- Last updated
- November 4, 2014
Beaverton Dental Group PC is a healthcare organization based in Beaverton, OR. Beaverton Dental Group PC practices in Beaverton, OR. The NPI Number for Beaverton Dental Group PC is 1093110975 and holds a License No. D7463 (OR). The current practice location address for Beaverton Dental Group PC is 12755 SW 2ND St, Beaverton, OR 97005-2767 and can be reached out via phone at 503-644-1126.
Provider Profile Details
- NPI Number
- 1093110975
- Provider Name
- Beaverton Dental Group PC
- Provider Entity Type
- Organization
- Address
- 12755 SW 2ND St, Beaverton, OR 97005-2767
- Phone Number
- 503-644-1126
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- John J Lee, DDS · Owner · 503-644-1126
- Provider Enumeration Date
- November 4, 2014
- Last Update Date
- November 4, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12755 SW 2ND St
Beaverton, OR 97005-2767 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-2767
- Phone Number
- 503-644-1126
Provider Business Mailing Address Details
- Address
- 12755 SW 2ND St
Beaverton, OR 97005-2767 - City
- Beaverton
- State
- OR
- Zip
- 97005-2767
- Phone Number
- 503-644-1126
License Information
- License Number
- D7463
- License State
- OR
- Taxonomy
- 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
View all Dentist, General Practice providers in Beaverton →- Barrett Family Dental PCDentist, General Practice · NPI 1881024750
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- Beaverton Sandy Dental Clinic PCDentist, General Practice · NPI 1528574829
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Frequently Asked Questions
What is the NPI number of Beaverton Dental Group PC?
The NPI number of Beaverton Dental Group PC is 1093110975. It was assigned on November 4, 2014 and is currently active in the NPPES registry.
What is the specialty of Beaverton Dental Group PC?
Beaverton Dental Group PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in OR under license number D7463.
Where does Beaverton Dental Group PC practice?
The practice location is 12755 SW 2ND St, Beaverton, OR 97005-2767. The office can be reached at 503-644-1126 (phone).
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 1093110975 directly on the NPPES registry website.