- Practice location
- 1316 SW 13TH Ave, Portland, OR 97201
- Phone
- 503-235-0555
- Fax
- 503-224-5726
- Last updated
- June 1, 2016
Advanced Dental Arts NW is a healthcare organization based in Portland, OR. Advanced Dental Arts NW practices in Portland, OR. The NPI Number for Advanced Dental Arts NW is 1376991240 and holds a License No. D5751 (OR). The current practice location address for Advanced Dental Arts NW is 1316 SW 13TH Ave, Portland, OR 97201 and can be reached out via phone at 503-235-0555 and via fax at 503-224-5726.
Provider Profile Details
- NPI Number
- 1376991240
- Provider Name
- Advanced Dental Arts NW
- Provider Entity Type
- Organization
- Address
- 1316 SW 13TH Ave, Portland, OR 97201
- Phone Number
- 503-235-0555
- Fax Number
- 503-224-5726
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Russell C Teasdale, DMD · Owner/Dentist · 503-235-0555
- Provider Enumeration Date
- June 1, 2016
- Last Update Date
- June 1, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1316 SW 13TH Ave
Portland, OR 97201 - City
- Portland
- State
- Oregon
- Zip
- 97201
- Phone Number
- 503-235-0555
- Fax Number
- 503-224-5726
Provider Business Mailing Address Details
- Address
- 1316 SW 13TH Ave
Portland, OR 97201 - City
- Portland
- State
- OR
- Zip
- 97201
- Phone Number
- 503-235-0555
- Fax Number
- 503-224-5726
License Information
- License Number
- D5751
- License State
- OR
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Portland, OR
View all Dentists in Portland →Frequently Asked Questions
What is the NPI number of Advanced Dental Arts NW?
The NPI number of Advanced Dental Arts NW is 1376991240. It was assigned on June 1, 2016 and is currently active in the NPPES registry.
What is the specialty of Advanced Dental Arts NW?
Advanced Dental Arts NW is registered under the primary taxonomy Dentist (code 122300000X), licensed in OR under license number D5751.
Where does Advanced Dental Arts NW practice?
The practice location is 1316 SW 13TH Ave, Portland, OR 97201. The office can be reached at 503-235-0555 (phone) or 503-224-5726 (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 1376991240 directly on the NPPES registry website.