PETER DOUGLAS DDS LLC
NPI 1063234722
Clinic/Center - Dental in Tigard, OR

Active since October 24, 2024
12011 SW 70TH AVE, TIGARD, OR 97223(503) 616-2024(503) 616-2328 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peter Douglas Dds Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER DOUGLAS DDS LLC (NPI 1063234722), doing business as Tigard Pediatric Dentistry, is a healthcare organization registered as a dental in Tigard, Oregon and active in the NPI registry since October 2024. The organization lists Peter Douglas, Owner, as its authorized official.

NPPES Registry Identity

NPI1063234722
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePETER DOUGLAS DDS LLC
Location Address12011 SW 70TH AVETigard, OR 97223-9634
Mailing Address12011 Sw 70th AveTigard, OR 97223-9634 · (503) 616-2024 · Fax (503) 616-2328
Fax(503) 616-2328
Organization SubpartNo
Authorized OfficialPeter DouglasOwner · (712) 560-6260
Enumeration DateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
NPI 1063234722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
12011 SW 70TH AVE, Tigard, OR 97223

Other Names 1

Doing Business AsTigard Pediatric Dentistry

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
12011 SW 70TH AVE
TIGARD, OR 97223
Physical Therapist
12011 SW 70TH AVE
TIGARD, OR 97223
Physical Therapist
12011 SW 70TH AVE
TIGARD, OR 97223
Physical Therapist
12011 SW 70TH AVE
TIGARD, OR 97223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Douglas Dds LLC's NPI number?

The NPI number for Peter Douglas Dds LLC is 1063234722. It was assigned to this organization in the NPPES registry on October 24, 2024. The provider is doing business as Tigard Pediatric Dentistry.

Where is Peter Douglas Dds LLC located?

Peter Douglas Dds LLC is located at 12011 SW 70th Ave, Tigard, OR 97223. The listed phone number is (503) 616-2024.

What is Peter Douglas Dds LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Peter Douglas Dds LLC was last updated on October 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.