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TUALATIN MODERN DENTISTRY
NPI 1437499852
Dentist - General Practice in Tualatin, OR

Active since February 21, 2013
7017 SW NYBERG STREET, TUALATIN, OR 97062(503) 612-8736(503) 612-8737 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tualatin Modern Dentistry NPPES

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

TUALATIN MODERN DENTISTRY (NPI 1437499852) is a healthcare organization registered as a general practice in Tualatin, Oregon and active in the NPI registry since February 2013. The organization lists Krista Mattson, Owner, as its authorized official.

NPPES Registry Identity

NPI1437499852
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTUALATIN MODERN DENTISTRY,PC
Location Address7017 SW NYBERG STREETTualatin, OR 97062
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (949) 474-1495
Phone(503) 612-8736
Fax(503) 612-8737
Organization SubpartNo
Authorized OfficialKrista MattsonOwner · (503) 612-8736
Enumeration DateFebruary 21, 2013
Last NPPES UpdateMarch 9, 2022
NPPES CertifiedMarch 9, 2022
✔ NPI 1437499852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
7017 SW NYBERG STREET, Tualatin, OR 97062
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Other Names 1

Doing Business AsTualatin Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Tualatin Modern Dentistry,pc's NPI number?

The NPI number for Tualatin Modern Dentistry,pc is 1437499852. It was assigned to this organization in the NPPES registry on February 21, 2013. The provider is doing business as Tualatin Modern Dentistry.

Where is Tualatin Modern Dentistry,pc located?

Tualatin Modern Dentistry,pc is located at 7017 SW Nyberg Street, Tualatin, OR 97062. The listed phone number is (503) 612-8736.

What is Tualatin Modern Dentistry,pc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tualatin Modern Dentistry,pc was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.