IndividualActive
Frederick Ganji, DDS
NPI 1720197429 · General Practice Dentistry · Beaverton, OR
Provider details
- NPI number
- 1720197429
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DE00010130 (WA)
Specialties & taxonomies
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.
Practice location
16755 Sw Baseline Rd
Suite 106
Beaverton, OR 97006-4241
Phone: (503) 533-4001
Fax: (503) 533-4116
Street-level locationGet directions
Mailing address
16755 Sw Baseline Rd
Beaverton, OR 97006-4241
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2009-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.