Active NPIIndividual providerSole proprietor

Juliana B Dacosta, DDS

Dentist in Portland, Oregon

NPI Number1730365479
Practice location
611 SW Campus Dr, Portland, OR 97239-3001
Fax
503-494-8384
Last updated
January 11, 2008

Juliana Branco Dacosta is a Dentist based in Portland, OR. Juliana Branco Dacosta practices in Portland, OR and has the professional credentials of DDS. The NPI Number for Juliana Branco Dacosta is 1730365479 and holds a License No. DF0021 (OR). The current practice location address for Juliana Branco Dacosta is 611 SW Campus Dr, Portland, OR 97239-3001 and can be reached out via phone at 503-494-4316 and via fax at 503-494-8384.

Provider Profile Details

NPI Number
1730365479
Provider Name
Juliana Branco Dacosta
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
611 SW Campus Dr, Portland, OR 97239-3001
Phone Number
503-494-4316
Fax Number
503-494-8384
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
January 11, 2008
Last Update Date
January 11, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
611 SW Campus Dr
Portland, OR 97239-3001
State
Oregon
Zip
97239-3001
Phone Number
503-494-4316
Fax Number
503-494-8384
Portland, OR 97239Get directions →

Provider Business Mailing Address Details

Address
15690 SW Peachtree Dr
Tigard, OR 97224-0997
City
Tigard
State
OR
Zip
97224-0997
Phone Number
503-758-2162

License Information

License Number
DF0021
License State
OR
Taxonomy
Dentist · 122300000X · 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 Juliana B Dacosta, DDS?

The NPI number of Juliana B Dacosta, DDS is 1730365479. It was assigned on January 11, 2008 and is currently active in the NPPES registry.

What is the specialty of Juliana B Dacosta, DDS?

Juliana B Dacosta, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in OR under license number DF0021.

Where does Juliana B Dacosta, DDS practice?

The practice location is 611 SW Campus Dr, Portland, OR 97239-3001. The office can be reached at 503-494-4316 (phone) or 503-494-8384 (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 1730365479 directly on the NPPES registry website.

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