NPI 1023367513

Beaverton Dental Center LLC

Organisation General Practice Dentistry Beaverton, OR

Practice location

Address: 11673 SW Beaverton Hillsdale Hwy, Beaverton, OR 97005-2928
Phone: (503) 641-4328
Fax: (503) 644-8454

Authorised official

Name: John Williams
Title: Owner
Phone: (503) 641-4328

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2004 (OR)

Other Dentist providers in Oregon →

Denturist

Dental Providers Taxonomy 122400000X Licence 27130 (OR)

Other Denturist providers in Oregon →

Registry record

NPI: 1023367513
Entity type: Organization
NPI issued: 30 Aug 2012
Record last updated: 30 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.