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Dr. Alexander Bouneff, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in Beaverton, Oregon
NPI 1235665738

Alexander Bouneff is a Oral and Maxillofacial Surgery (Dentist) based in Portland, OR and is specialized in Oral and Maxillofacial Surgery. Alexander Bouneff practices in Beaverton, OR and has the professional credentials of DMD,MD. The NPI Number for Alexander Bouneff is 1235665738 and holds a License No. (Oregon).

The current practice location address for Alexander Bouneff is 3925 Sw 153Rd Dr Ste 100, Beaverton, OR and can be reached out via phone at 503-646-7101. You can also correspond with Alexander Bouneff through the mailing address at 420 NW 11TH AVE UNIT 1001, PORTLAND, OR - 97209-2972 (mailing address contact number: 971-241-2417).

Location: 3925 Sw 153Rd Dr Ste 100, Beaverton, OR, 97209-2972
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235665738
Provider Name
Alexander Bouneff
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Male
Address
3925 Sw 153Rd Dr Ste 100, Beaverton, OR, 97209-2972
Phone Number
503-646-7101
Fax Number
Provider Enumeration Date
05/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3925 Sw 153Rd Dr Ste 100
City
Beaverton
State
Oregon
Zip
97003-4168
Phone Number
503-646-7101
Fax Number
person
Provider Business Mailing Address Details
Address
3925 Sw 153Rd Dr Ste 100
City
Beaverton
State
Oregon
Zip
97003-4168
Phone Number
503-646-7101
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
D11586 (Oregon)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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