OrganizationActive
Peter Douglas DDS LLC
NPI 1063234722 · Dental Clinic/Center · Tigard, OR
Peter Douglas DDS LLC is a Dental Clinic/Center organization in Tigard, OR (NPI 1063234722).
Provider details
- NPI number
- 1063234722
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Peter Douglas, Owner(712) 560-6260
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12011 Sw 70th Ave
Tigard, OR 97223-9634
Phone: (503) 616-2024
Fax: (503) 616-2328
Street-level locationGet directions
Mailing address
12011 Sw 70th Ave
Tigard, OR 97223-9634
Other names (DBA / former)
- Doing business as
- Tigard Pediatric Dentistry
Registry dates
- Enumerated
- 2024-10-24
- Last updated
- 2024-10-24
- Certified
- 2024-10-24
Frequently asked questions
- What is Peter Douglas DDS LLC's NPI number?
- Peter Douglas DDS LLC's National Provider Identifier (NPI) is 1063234722, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peter Douglas DDS LLC?
- Peter Douglas DDS LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Peter Douglas DDS LLC located?
- Peter Douglas DDS LLC's practice location on file with NPPES is 12011 Sw 70th Ave, Tigard, OR 97223-9634.
- What is Peter Douglas DDS LLC's phone number?
- The practice phone number listed in the NPPES registry for Peter Douglas DDS LLC is (503) 616-2024.
- Who is the authorized official for Peter Douglas DDS LLC?
- The authorized official listed on Peter Douglas DDS LLC's NPPES record is Peter Douglas, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peter Douglas DDS LLC's NPI active?
- Yes — Peter Douglas DDS LLC's NPI (1063234722) is active in the NPPES registry as of the last update on 2024-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.