Peterson Periodontics & Implantology Llc - Portland, OR

Peterson Periodontics & Implantology Llc

Periodontist in Portland, Oregon

NPI 1801310008

Peterson Periodontics & Implantology Llc is a Periodontist based in Portland, OR and is specialized in Periodontics. Peterson Periodontics & Implantology Llc practices in Portland, OR. The NPI Number for Peterson Periodontics & Implantology Llc is 1801310008 and holds a License No. D9905 (Oregon).

The current practice location address for Peterson Periodontics & Implantology Llc is 5528 Se Powell Blvd, Portland, OR and can be reached out via phone at 503-788-1008.

Location: 5528 Se Powell Blvd, Portland, OR, 97206-3910

NPI Number

1801310008

Provider Name

Peterson Periodontics & Implantology Llc

Credential

Provider Entity Type

Organization

Address

5528 Se Powell Blvd, Portland, OR, 97206-3910

Phone Number

503-788-1008

Fax Number

Provider Enumeration Date

07/29/2017

Last Update Date

03/09/2024

Address

5528 Se Powell Blvd

City

Portland

State

Oregon

Zip

97206-2956

Phone Number

503-788-1008

Fax Number

Address

5528 Se Powell Blvd

City

Portland

State

Oregon

Zip

97206-2956

Phone Number

503-788-1008

Fax Number

Type

Dental Providers

Classification

Dentist

Speciality

Periodontics

Taxonomy

1223P0300X

License No.

D9905 (Oregon)

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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