institution
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. You can also correspond with Peterson Periodontics & Implantology Llc through the mailing address at 4420 SE 51ST AVE, PORTLAND, OR - 97206-3910 (mailing address contact number: 406-861-8844).

Location: 5528 Se Powell Blvd, Portland, OR, 97206-3910
institution
Provider Profile Details
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
institution
Provider Business Practice Location Address Details
Address
5528 Se Powell Blvd
City
State
Zip
97206-2956
Phone Number
503-788-1008
Fax Number
person
Provider Business Mailing Address Details
Address
5528 Se Powell Blvd
City
State
Zip
97206-2956
Phone Number
503-788-1008
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
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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