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DANIEL PETRISOR DMD MD LLC
NPI 1194280685
Dentist - Oral and Maxillofacial Surgery in Tualatin, OR

Active since February 08, 2019
6464 SW BORLAND RD STE D3, TUALATIN, OR 97062(214) 316-5743 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Daniel Petrisor Dmd Md Llc NPPES

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

DANIEL PETRISOR DMD MD LLC (NPI 1194280685) is a healthcare organization registered as an oral and maxillofacial surgery in Tualatin, Oregon and active in the NPI registry since February 2019. The organization lists Daniel Petrisor, Owner, as its authorized official.

NPPES Registry Identity

NPI1194280685
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameDANIEL PETRISOR DMD MD LLC
Location Address6464 SW BORLAND RD STE D3Tualatin, OR 97062-8861
Mailing Address6464 Sw Borland Rd Ste D3Tualatin, OR 97062-8861
Phone(214) 316-5743
Organization SubpartNo
Authorized OfficialDaniel PetrisorOwner · (214) 316-5743
Enumeration DateFebruary 8, 2019
✔ NPI 1194280685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

6464 SW BORLAND RD STE D3, Tualatin, OR 97062
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

SAM SEOHO BAE M.D., D.D.S.
Oral & Maxillofacial Surgery
6464 SW BORLAND RD STE D3
TUALATIN, OR 97062
Washington County (503) 692-5654
THREE RIVERS ORAL AND FACIAL SURGERY LLC
Oral & Maxillofacial Surgery
6464 SW BORLAND RD STE D3
TUALATIN, OR 97062
Washington County (503) 692-5654

Frequently Asked Questions

What is DANIEL PETRISOR DMD MD LLC's NPI number?

The NPI number assigned to this healthcare provider is 1194280685, enumerated as an "organization" on February 08, 2019.

Where is the provider located?

The provider is located at 6464 SW BORLAND RD STE D3 TUALATIN, OR 97062 and the phone number is (214) 316-5743.

What is the provider's specialty?

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.