OrganizationActive
Periodontal Associates, LLC
NPI 1669710331 · Periodontics · Tualatin, OR
Periodontal Associates, LLC is a Periodontics organization in Tualatin, OR (NPI 1669710331).
Provider details
- NPI number
- 1669710331
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Bradley Mcallister, Partner(503) 620-2807
- License
- D6900 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
18753 Sw Martinazzi Ave
Tualatin, OR 97062-6808
Phone: (503) 620-2807
Fax: (503) 968-5419
Street-level locationGet directions
Mailing address
18753 Sw Martinazzi Ave
Tualatin, OR 97062-6808
Registry dates
- Enumerated
- 2013-01-30
- Last updated
- 2015-08-24
Frequently asked questions
- What is Periodontal Associates, LLC's NPI number?
- Periodontal Associates, LLC's National Provider Identifier (NPI) is 1669710331, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontal Associates, LLC?
- Periodontal Associates, LLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontal Associates, LLC located?
- Periodontal Associates, LLC's practice location on file with NPPES is 18753 Sw Martinazzi Ave, Tualatin, OR 97062-6808.
- What is Periodontal Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Periodontal Associates, LLC is (503) 620-2807.
- Who is the authorized official for Periodontal Associates, LLC?
- The authorized official listed on Periodontal Associates, LLC's NPPES record is Bradley Mcallister, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontal Associates, LLC's NPI active?
- Yes — Periodontal Associates, LLC's NPI (1669710331) is active in the NPPES registry as of the last update on 2015-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.