LAKE OSWEGO PERIODONTICS
NPI 1457875700
Dentist - Orthodontics and Dentofacial Orthopedics in Lake Oswego, OR

Active since July 28, 2017
15962 BOONES FERRY RD STE 108, LAKE OSWEGO, OR 97035(503) 699-6569 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2018, Jul 28, 2017 (2 updates tracked since 2017).

About Lake Oswego Periodontics NPPES

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

LAKE OSWEGO PERIODONTICS (NPI 1457875700) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Lake Oswego, Oregon and active in the NPI registry since July 2017. The organization lists Vanessa N B Peterson, Orthodontist, Member Of Llc, as its authorized official.

NPPES Registry Identity

NPI1457875700
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NamePETERSON ORTHODONTICS & PERIODONTICS, LLC
Location Address15962 BOONES FERRY RD STE 108Lake Oswego, OR 97035-4359
Mailing Address4420 Se 51st AvePortland, OR 97206-3910
Organization SubpartNo
Authorized OfficialVanessa N B PetersonOrthodontist, Member Of Llc · (909) 518-7743
Enumeration DateJuly 28, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
NPI 1457875700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
15962 BOONES FERRY RD STE 108, Lake Oswego, OR 97035

Other Names 3

Doing Business AsLake Oswego Periodontics
Doing Business AsLake Oswego Orthodontics
Doing Business AsLake Oswego Orthodontics & Periodontics

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 Peterson Orthodontics & Periodontics, LLC's NPI number?

The NPI number for Peterson Orthodontics & Periodontics, LLC is 1457875700. It was assigned to this organization in the NPPES registry on July 28, 2017. The provider is doing business as Lake Oswego Periodontics, Lake Oswego Orthodontics and Lake Oswego Orthodontics & Periodontics.

Where is Peterson Orthodontics & Periodontics, LLC located?

Peterson Orthodontics & Periodontics, LLC is located at 15962 Boones Ferry Rd Ste 108, Lake Oswego, OR 97035. The listed phone number is (503) 699-6569.

What is Peterson Orthodontics & Periodontics, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Peterson Orthodontics & Periodontics, LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.