Active NPIIndividual provider

Dr. Alexander Bouneff, DMD, MD

Dentist, Oral and Maxillofacial Surgery in Beaverton, Oregon

NPI Number1235665738
Practice location
3925 SW 153RD Dr Ste 100, Beaverton, OR 97003-4168
Fax
—
Last updated
September 8, 2022

Alexander Bouneff is a Dentist, Oral and Maxillofacial Surgery based in Beaverton, OR. 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. D11586 (OR). The current practice location address for Alexander Bouneff is 3925 SW 153RD Dr Ste 100, Beaverton, OR 97003-4168 and can be reached out via phone at 503-646-7101.

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 97003-4168
Phone Number
503-646-7101
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
May 4, 2017
Last Update Date
September 8, 2022
Certification Date
September 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
3925 SW 153RD Dr Ste 100
Beaverton, OR 97003-4168
State
Oregon
Zip
97003-4168
Phone Number
503-646-7101
Beaverton, OR 97003Get directions →

Provider Business Mailing Address Details

Address
420 NW 11TH Ave Unit 1001
Portland, OR 97209-2972
City
Portland
State
OR
Zip
97209-2972
Phone Number
971-241-2417

License Information

License Number (2)
D11586
License State (2)
OR
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Alexander Bouneff, DMD, MD?

The NPI number of Dr. Alexander Bouneff, DMD, MD is 1235665738. It was assigned on May 4, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Alexander Bouneff, DMD, MD?

Dr. Alexander Bouneff, DMD, MD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in OR under license number D11586.

Where does Dr. Alexander Bouneff, DMD, MD practice?

The practice location is 3925 SW 153RD Dr Ste 100, Beaverton, OR 97003-4168. The office can be reached at 503-646-7101 (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 1235665738 directly on the NPPES registry website.

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