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NPI 1669710331

OrganizationActive

Periodontal Associates, LLC

NPI 1669710331 · Periodontics · Tualatin, OR

Provider details

NPI number: 1669710331
Entity type: Organization
Primary specialty: PeriodonticsDental Providers
Authorized official: Bradley Mcallister, Partner
License: D6900 (OR)

Practice location

18753 Sw Martinazzi Ave

Tualatin, OR 97062-6808

Phone: (503) 620-2807

Fax: (503) 968-5419

More OR providers

Mailing address

18753 Sw Martinazzi Ave

Tualatin, OR 97062-6808

Registry dates

Enumerated: 2013-01-30
Last updated: 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.

Periodontal Associates, LLC — NPI 1669710331, Tualatin, OR | NPI Central