OrganizationActive
Permanente Dental Associates, PC
NPI 1669492500 · Health Maintenance Organization · Tigard, OR
Provider details
- NPI number
- 1669492500
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Donald Prasnicar, Dental Director(503) 684-9274
- License
- 5960 (OR)
Specialties & taxonomies
Managed Care Organizations
Practice location
7105 Sw Hampton St
Tigard, OR 97223-8314
Phone: (503) 684-9274
Approximate (ZIP-level) locationGet directions
Mailing address
28556 Sw Cascade Loop
Wilsonville, OR 97070-8747
Registry dates
- Enumerated
- 2006-07-21
- 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.