Daniel Petrisor, DMD, MD - Portland, OR

Daniel Petrisor, DMD,MD

Oral & Maxillofacial Surgery (D.M.D.) in Portland, Oregon

NPI 1235332834

Daniel Petrisor is a Oral & Maxillofacial Surgery (D.M.D.) based in Portland, OR. Daniel Petrisor practices in Portland, OR and has the professional credentials of DMD,MD. The NPI Number for Daniel Petrisor is 1235332834 and holds a License No. ME16886 (Oregon).

The current practice location address for Daniel Petrisor is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-8914 and via fax at 503-494-0294. You can also correspond with Daniel Petrisor through the mailing address at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR - 97239-3011 (mailing address contact number: 503-494-8914).

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011

NPI Number

1235332834

Provider Name

Daniel Petrisor

Credential

DMD,MD

Provider Entity Type

Individual

Gender

Male

Address

3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011

Phone Number

503-494-8914

Fax Number

503-494-0294

Provider Enumeration Date

06/09/2007

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
148H9	01	FL	BCBS FL
BP1-0026540	01		INSTITUTIONAL PERMIT
0022923-00	05	FL
500654224	05	OR
500651136	05	OR

Address

3181 Sw Sam Jackson Park Rd

City

Portland

State

Oregon

Zip

97239-3011

Phone Number

503-494-8914

Fax Number

503-494-0294

Address

3181 Sw Sam Jackson Park Rd

City

Portland

State

Oregon

Zip

97239-3011

Phone Number

503-494-8914

Fax Number

503-494-0294

Type

Allopathic & Osteopathic Physicians

Classification

Oral & Maxillofacial Surgery

Speciality

Taxonomy

204E00000X

License No.

21547 (Texas)

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

ME16886 (Florida)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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