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PERIODONTAL ASSOCIATES, LLC
NPI 1669710331
Dentist - Periodontics in Tualatin, OR

Active since January 30, 2013
18753 SW MARTINAZZI AVE, TUALATIN, OR 97062(503) 620-2807(503) 968-5419 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Periodontal Associates, Llc NPPES

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

PERIODONTAL ASSOCIATES, LLC (NPI 1669710331) is a healthcare organization registered as a periodontics in Tualatin, Oregon and active in the NPI registry since January 2013. The organization lists Bradley Mcallister, Partner, as its authorized official.

NPPES Registry Identity

NPI1669710331
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL ASSOCIATES, LLC
Location Address18753 SW MARTINAZZI AVETualatin, OR 97062-6808
Mailing Address18753 Sw Martinazzi AveTualatin, OR 97062-6808 · (503) 620-2807 · Fax (503) 620-2807
Phone(503) 620-2807
Fax(503) 968-5419
Organization SubpartNo
Authorized OfficialBradley McallisterPartner · (503) 620-2807
Enumeration DateJanuary 30, 2013
Last NPPES UpdateAugust 24, 2015
✔ NPI 1669710331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in OR · D6900
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
18753 SW MARTINAZZI AVE, Tualatin, OR 97062
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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

Other Providers at the Same Location NPPES

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

VAHID THOMAS ESHRAGHI D.M.D
Dentist (Periodontics)
18753 SW MARTINAZZI AVE
TUALATIN, OR 97062
Washington County (503) 620-2807

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 Periodontal Associates, LLC's NPI number?

The NPI number for Periodontal Associates, LLC is 1669710331. It was assigned to this organization in the NPPES registry on January 30, 2013.

Where is Periodontal Associates, LLC located?

Periodontal Associates, LLC is located at 18753 SW Martinazzi Ave, Tualatin, OR 97062. The listed phone number is (503) 620-2807.

What is Periodontal Associates, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periodontal Associates, LLC was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.