OrganizationActive
Periodontal Concepts
NPI 1205041514 · Periodontics · Vancouver, WA
Provider details
- NPI number
- 1205041514
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Munib Derhalli, President(360) 254-8151
- License
- DE7432 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
300 Se 120th Ave Ste 500
Vancouver, WA 98683-4020
Phone: (360) 254-8151
Fax: (360) 254-7175
Street-level locationGet directions
Mailing address
300 Se 120th Ave Ste 500
Vancouver, WA 98683-4020
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.