- Practice location
- 11525 SW Durham RD, Suite D-6, Tigard, OR 97224-3475
- Phone
- 503-620-2807
- Fax
- 503-968-5419
- Last updated
- June 30, 2011
Bradley S. Mcallister, DDS, PHD is a healthcare organization based in Tigard, OR. Bradley S. Mcallister, DDS, PHD practices in Tigard, OR. The NPI Number for Bradley S. Mcallister, DDS, PHD is 1295798452 and holds a License No. D6900 (OR). The current practice location address for Bradley S. Mcallister, DDS, PHD is 11525 SW Durham RD, Suite D-6, Tigard, OR 97224-3475 and can be reached out via phone at 503-620-2807 and via fax at 503-968-5419.
Provider Profile Details
- NPI Number
- 1295798452
- Provider Name
- Bradley S. Mcallister, DDS, PHD
- Provider Entity Type
- Organization
- Address
- 11525 SW Durham RD, Suite D-6, Tigard, OR 97224-3475
- Phone Number
- 503-620-2807
- Fax Number
- 503-968-5419
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Dr. Bradley S. Mcallister, DDS, PHD · Owner · 503-620-2807
- Other Names
- Periodontal Associates (Doing Business As)
- Provider Enumeration Date
- April 10, 2006
- Last Update Date
- June 30, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11525 SW Durham RD
Suite D-6
Tigard, OR 97224-3475 - City
- Tigard
- State
- Oregon
- Zip
- 97224-3475
- Phone Number
- 503-620-2807
- Fax Number
- 503-968-5419
Provider Business Mailing Address Details
- Address
- 11525 SW Durham RD
Suite D-6
Tigard, OR 97224-3475 - City
- Tigard
- State
- OR
- Zip
- 97224-3475
- Phone Number
- 503-620-2807
- Fax Number
- 503-968-5419
License Information
- License Number
- D6900
- License State
- OR
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Dental providers near Tigard, OR
View all Clinic/Center, Dental providers in Tigard →Frequently Asked Questions
What is the NPI number of Bradley S. Mcallister, DDS, PHD?
The NPI number of Bradley S. Mcallister, DDS, PHD is 1295798452. It was assigned on April 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Bradley S. Mcallister, DDS, PHD?
Bradley S. Mcallister, DDS, PHD is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in OR under license number D6900.
Where does Bradley S. Mcallister, DDS, PHD practice?
The practice location is 11525 SW Durham RD, Suite D-6, Tigard, OR 97224-3475. The office can be reached at 503-620-2807 (phone) or 503-968-5419 (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 1295798452 directly on the NPPES registry website.