IndividualActive
Matt Hoidal, D.D.S., M.S.
NPI 1164605259 · Periodontics · Lake Oswego, OR
Provider details
- NPI number
- 1164605259
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S., M.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D9075 (OR)
Specialties & taxonomies
Dental Providers
Practice location
300 Oswego Pointe Dr
Ste 106
Lake Oswego, OR 97034-3254
Phone: (503) 635-3584
Fax: (503) 635-6813
Approximate (ZIP-level) locationGet directions
Mailing address
300 Oswego Pointe Dr
Lake Oswego, OR 97034-3254
Registry dates
- Enumerated
- 2007-12-11
- Last updated
- 2012-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.