OrganizationActive
Peterson Periodontics & Implantology LLC
NPI 1801310008 · Periodontics · Portland, OR
Provider details
- NPI number
- 1801310008
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Andrew Peterson, Periodontist, Member of LLC(406) 861-8844
- License
- D9905 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
5528 Se Powell Blvd
Portland, OR 97206-2956
Phone: (503) 788-1008
Street-level locationGet directions
Mailing address
4420 Se 51st Ave
Portland, OR 97206-3910
Registry dates
- Enumerated
- 2017-07-29
- Last updated
- 2017-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.