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DR. MASTANEH POURNADERI D.D.S
NPI 1063729523
Dentist in Portland, OR

Active since September 04, 2010
12710 SE DIVISION ST, PORTLAND, OR 97236(503) 988-3410 Get Directions Write a Review

NPPES record last updated: September 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mastaneh Pournaderi D.d.s NPPES

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

DR. MASTANEH POURNADERI D.D.S (NPI 1063729523) is an individual dentist in Portland, Oregon, licensed in Oregon (D8516) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1063729523
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MASTANEH POURNADERICredential: D.D.S
Location Address12710 SE DIVISION STPortland, OR 97236-3134
Mailing Address14820 Nw Tranquility DrBanks, OR 97106-8835 · (503) 324-0631
Phone(503) 988-3410
Sole ProprietorNo
Enumeration DateSeptember 4, 2010
✔ NPI 1063729523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in OR · D8516✔ Licensed in CA · 42083
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
12710 SE DIVISION ST, Portland, OR 97236
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. SERGEY Y KIRPICHENKO DMD
Dentist (General Practice)
12710 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 988-3410
DR. SAMY F TANYOS D.M.D.
Dentist
12710 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 988-3816
DONALD EUGENE POSTEN LCSW
Social Worker (Clinical)
12710 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 988-3601
DR. ALYSSA T FRANZEN DMD
Dentist (General Practice)
12710 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 988-3410
DERRICK MICHAEL JONES PA-C
Physician Assistant (Medical)
12710 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 988-3601
WHITNEY THOMAS
Nurse Practitioner (Family)
12710 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 988-5558
MULTNOMAH COUNTY
Clinic/Center (Federally Qualified Health Center (FQHC))
12710 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 988-3410
DR. DANIEL E SKOURTES D.M.D
Dentist (General Practice)
12710 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 988-3410

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 Mastaneh Pournaderi's NPI number?

The NPI number for Mastaneh Pournaderi is 1063729523. It was assigned to this individual provider in the NPPES registry on September 4, 2010.

Where is Mastaneh Pournaderi located?

Mastaneh Pournaderi practices at 12710 SE Division St, Portland, OR 97236. The listed phone number is (503) 988-3410.

What is Mastaneh Pournaderi's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mastaneh Pournaderi accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 3 other insurers list Mastaneh Pournaderi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mastaneh Pournaderi was last updated on September 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.