1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Dentist
  6. NPI Profile

SKYLINE ORAL FACIAL AND DENTAL IMPLANT SURGERY
NPI 1376310359
Dentist - Oral and Maxillofacial Surgery in Portland, OR

Active since December 08, 2023
11786 SW BARNES RD STE 110, PORTLAND, OR 97225(503) 924-2323 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 1, 2024, Dec 8, 2023 (2 updates tracked since 2023).

About Skyline Oral Facial And Dental Implant Surgery NPPES

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

SKYLINE ORAL FACIAL AND DENTAL IMPLANT SURGERY (NPI 1376310359) is a healthcare organization registered as an oral and maxillofacial surgery in Portland, Oregon and active in the NPI registry since December 2023. The organization lists Jason Faler, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1376310359
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSKYLINE ORAL FACIAL AND DENTAL IMPLANT SURGERY
Location Address11786 SW BARNES RD STE 110Portland, OR 97225-5926
Mailing Address11786 Sw Barnes Rd Ste 110Portland, OR 97225-5926 · (503) 924-2323
Phone(503) 924-2323
Organization SubpartNo
Authorized OfficialJason FalerExecutive Director · (503) 444-6444
Enumeration DateDecember 8, 2023
Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
✔ NPI 1376310359 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.
11786 SW BARNES RD STE 110, Portland, OR 97225
Open in Google Maps ↗

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 4

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

MIKAELA C GATES RNFA
Registered Nurse (Registered Nurse First Assistant)
11786 SW BARNES RD STE 110
PORTLAND, OR 97225
Washington County (503) 924-2323
BRETT A. UEECK DMD, MD, PC
Oral & Maxillofacial Surgery
11786 SW BARNES RD STE 110
PORTLAND, OR 97225
Washington County (503) 924-2323
DANIELLE AMI PLOUSSARD D.D.S., M.D.
Oral & Maxillofacial Surgery
11786 SW BARNES RD STE 110
PORTLAND, OR 97225
Washington County (503) 444-6444
DR. STEVEN WAYNE BEADNELL D.M.D.
Dentist (Oral and Maxillofacial Surgery)
11786 SW BARNES RD STE 110
PORTLAND, OR 97225
Washington County (503) 924-2323

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 Skyline Oral Facial And Dental Implant Surgery's NPI number?

The NPI number for Skyline Oral Facial And Dental Implant Surgery is 1376310359. It was assigned to this organization in the NPPES registry on December 8, 2023.

Where is Skyline Oral Facial And Dental Implant Surgery located?

Skyline Oral Facial And Dental Implant Surgery is located at 11786 SW Barnes Rd Ste 110, Portland, OR 97225. The listed phone number is (503) 924-2323.

What is Skyline Oral Facial And Dental Implant Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Skyline Oral Facial And Dental Implant Surgery was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.