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Amy Lacoste, DMD — NPI 1518699263, Tigard, OR | NPI Central

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NPI 1518699263

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Amy Lacoste, DMD

NPI 1518699263 · Periodontics · Tigard, OR

Provider details

NPI number: 1518699263
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: DMD
Sex: Female
Sole proprietor: Yes
License: D11898 (OR)

Specialties & taxonomies

PeriodonticsPrimary1223P0300XLicense D11898 (OR)
Dental Providers
Dentist122300000XLicense D11898 (OR)
Dental Providers

Practice location

12025 Sw 70th Ave

Tigard, OR 97223-9634

Phone: (503) 765-7965

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

12705 Sw Trask St

Beaverton, OR 97007-3024

Registry dates

Enumerated: 2022-06-29
Last updated: 2025-08-20
Certified: 2025-08-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.