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NPI 1972643963

IndividualActive

Anthony Bouneff, D.M.D.

NPI 1972643963 · Oral and Maxillofacial Surgery (Dentist) · Beaverton, OR

Provider details

NPI number: 1972643963
Entity type: Individual
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Credential: D.M.D.
Sex: Male
Sole proprietor: Yes
License: D6635 (OR)

Practice location

3925 Sw 153rd Dr

Suite #100

Beaverton, OR 97006-4166

Phone: (503) 646-7101

Fax: (503) 646-7105

More OR providers

Mailing address

3925 Sw 153rd Dr

Beaverton, OR 97006-4166

Registry dates

Enumerated: 2007-02-07
Last updated: 2008-01-17

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

Anthony Bouneff, D.M.D. — NPI 1972643963, Beaverton, OR | NPI Central