- 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. The NPI number for Advanced Dental Arts NW is 1376991240 and holds license No. D5751 (OR). The current practice location address is 1316 SW 13TH Ave, Portland, OR 97201 and the office can be reached by phone at 503-235-0555 and by fax at 503-224-5726. The NPI was assigned on June 1, 2016 and the record was last updated in NPPES on June 1, 2016.
●Provider Profile Details
- NPI Number
- 1376991240
- Provider Name
- Advanced Dental Arts NW
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Russell C Teasdale, DMD · Owner/Dentist · 503-235-0555
- Enumeration Date
- June 1, 2016
- Last Update Date
- June 1, 2016
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 1316 SW 13TH Ave
Portland, OR 97201 - City
- Portland
- State
- Oregon
- ZIP
- 97201
- Country
- US
- Phone Number
- 503-235-0555
- Fax Number
- 503-224-5726
✉Business Mailing Address
- Address
- 1316 SW 13TH Ave
Portland, OR 97201 - City
- Portland
- State
- OR
- ZIP
- 97201
- Phone Number
- 503-235-0555
- Fax Number
- 503-224-5726
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Dentist 193400000X - Single Specialty Group | 122300000X | Yes | D5751 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers 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) and holds license No. D5751 (OR).
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 at npiregistry.cms.hhs.gov.