What is Periodontal Concepts's NPI number?

Periodontal Concepts's National Provider Identifier (NPI) is 1205041514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Periodontal Concepts?

Periodontal Concepts is classified in the NPPES registry as Periodontics (Dental Providers).

Where is Periodontal Concepts located?

Periodontal Concepts's practice location on file with NPPES is 300 Se 120th Ave Ste 500, Vancouver, WA 98683-4020.

What is Periodontal Concepts's phone number?

The practice phone number listed in the NPPES registry for Periodontal Concepts is (360) 254-8151.

Who is the authorized official for Periodontal Concepts?

The authorized official listed on Periodontal Concepts's NPPES record is Munib Derhalli, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Periodontal Concepts's NPI active?

Yes — Periodontal Concepts's NPI (1205041514) is active in the NPPES registry as of the last update on 2020-08-22.

OrganizationActive

Periodontal Concepts

NPI 1205041514 · Periodontics · Vancouver, WA

Periodontal Concepts is a Periodontics organization in Vancouver, WA (NPI 1205041514).

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)

Practice location

300 Se 120th Ave Ste 500

Vancouver, WA 98683-4020

Phone: (360) 254-8151

Fax: (360) 254-7175

Street-level locationGet directions

More WA providers

Mailing address

300 Se 120th Ave Ste 500

Vancouver, WA 98683-4020

Specialties & taxonomies

PeriodonticsPrimary1223P0300XLicense DE7432 (WA)
Dental Providers

Profile Score

Detailed profile(90/100 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.

Enumerated: 2007-05-11
Last updated: 2020-08-22

Frequently asked questions

What is Periodontal Concepts's NPI number?: Periodontal Concepts's National Provider Identifier (NPI) is 1205041514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Periodontal Concepts?: Periodontal Concepts is classified in the NPPES registry as Periodontics (Dental Providers).
Where is Periodontal Concepts located?: Periodontal Concepts's practice location on file with NPPES is 300 Se 120th Ave Ste 500, Vancouver, WA 98683-4020.
What is Periodontal Concepts's phone number?: The practice phone number listed in the NPPES registry for Periodontal Concepts is (360) 254-8151.
Who is the authorized official for Periodontal Concepts?: The authorized official listed on Periodontal Concepts's NPPES record is Munib Derhalli, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Periodontal Concepts's NPI active?: Yes — Periodontal Concepts's NPI (1205041514) is active in the NPPES registry as of the last update on 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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions