REVOLUTION DENTAL IMPLANT CENTER
NPI 1194423988
Clinic/Center - Dental in Oregon City, OR

Q: What is Revolution Dental Implant Center's NPI number?

The NPI number for Revolution Dental Implant Center is 1194423988. It was assigned to this organization in the NPPES registry on February 21, 2023.

Q: What is Revolution Dental Implant Center's specialty?

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

Active since February 21, 2023

19017 BEAVERCREEK RD, OREGON CITY, OR 97045(503) 777-3333 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Feb 21, 2023 (2 updates tracked since 2023).

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About Revolution Dental Implant Center NPPES

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

REVOLUTION DENTAL IMPLANT CENTER (NPI 1194423988) is a healthcare organization registered as a dental in Oregon City, Oregon and active in the NPI registry since February 2023. The organization lists Bradley Houtman, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1194423988

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameREVOLUTION DENTAL IMPLANT CENTER

Location Address19017 BEAVERCREEK RDOregon City, OR 97045-9537

Mailing Address19017 Beavercreek RdOregon City, OR 97045-9537

Phone(503) 777-3333

Organization SubpartNo

Authorized OfficialBradley HoutmanOperations Manager · (503) 777-3333

Enumeration DateFebruary 21, 2023

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2023

✔ NPI 1194423988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

19017 BEAVERCREEK RD, Oregon City, OR 97045

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Other Identifiers 1

OtherD9000OR · State License Number

Other Providers at the Same Location NPPES

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

DR. TAYLOR JAMES MULLANEY DMD

Dentist

19017 BEAVERCREEK RD
OREGON CITY, OR 97045

Clackamas County (503) 777-3333

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 Revolution Dental Implant Center's NPI number?

The NPI number for Revolution Dental Implant Center is 1194423988. It was assigned to this organization in the NPPES registry on February 21, 2023.

Where is Revolution Dental Implant Center located?

Revolution Dental Implant Center is located at 19017 Beavercreek Rd, Oregon City, OR 97045. The listed phone number is (503) 777-3333.

What is Revolution Dental Implant Center'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 Revolution Dental Implant Center was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.