DR. MARK ALLAN VILLANUEVA DDS
NPI 1568793024
Dentist - General Practice in Portland, OR

Active since January 23, 2010
5025 SE 28TH AVE, PORTLAND, OR 97202(503) 238-4418 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark Allan Villanueva Dds NPPES

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

DR. MARK ALLAN VILLANUEVA DDS (NPI 1568793024) is an individual general practice provider in Portland, Oregon, licensed in California (59082) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1568793024
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK ALLAN VILLANUEVACredential: DDS
Location Address5025 SE 28TH AVEPortland, OR 97202-4445
Mailing Address9298 Se Hamilton LnHappy Valley, OR 97086-5004 · (503) 538-4418
Sole ProprietorNo
Enumeration DateJanuary 23, 2010
Last NPPES UpdateMay 8, 2015
NPI 1568793024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in CA · 59082 Licensed in OR · D9990
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.
5025 SE 28TH AVE, Portland, OR 97202

Other Providers at the Same Location NPPES 20

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

Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Dental Hygienist
5025 SE 28TH AVE
PORTLAND, OR 97202
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Dental Hygienist
5025 SE 28TH AVE
PORTLAND, OR 97202
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202

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 Mark Villanueva's NPI number?

The NPI number for Mark Villanueva is 1568793024. It was assigned to this individual provider in the NPPES registry on January 23, 2010.

Where is Mark Villanueva located?

Mark Villanueva practices at 5025 SE 28th Ave, Portland, OR 97202. The listed phone number is (503) 238-4418.

What is Mark Villanueva'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 Mark Villanueva was last updated on May 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.