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NPI 1972354447

OrganizationActive

Sunil D. Thanik, DMD, Msd, LLC

NPI 1972354447 · Periodontics · Tigard, OR

Provider details

NPI number: 1972354447
Entity type: Organization
Primary specialty: PeriodonticsDental Providers
Organization subpart: No
Authorized official: Jenny Garcia Rocha, Sr Credentialing Team Lead(972) 869-3789

Specialties & taxonomies

PeriodonticsPrimary1223P0300X
Dental Providers

Practice location

12025 Sw 70th Ave

Tigard, OR 97223-9634

Phone: (503) 924-6505

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

12025 Sw 70th Ave

Tigard, OR 97223-9634

Other names (DBA / former)

Doing business as: Progressive Periodontics

Registry dates

Enumerated: 2024-04-01
Last updated: 2024-04-01
Certified: 2024-04-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Sunil D. Thanik, DMD, Msd, LLC — NPI 1972354447, Tigard, OR | NPI Central