PACIFIC NORTHWEST DENTAL, LLC
NPI 1689292781
Clinic/Center - Dental in Beaverton, OR
About Pacific Northwest Dental, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC NORTHWEST DENTAL, LLC (NPI 1689292781), doing business as Pacific Nw Dental, is a healthcare organization registered as a dental in Beaverton, Oregon and active in the NPI registry since July 2020. The organization lists Ryan M Bradley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Pacific Northwest Dental, LLC's NPI number?
The NPI number for Pacific Northwest Dental, LLC is 1689292781. It was assigned to this organization in the NPPES registry on July 6, 2020. The provider is doing business as Pacific NW Dental.
Where is Pacific Northwest Dental, LLC located?
Pacific Northwest Dental, LLC is located at 12725 SW 2nd St, Beaverton, OR 97005. The listed phone number is (503) 644-1953.
What is Pacific Northwest Dental, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
When was this NPI record last updated?
The NPPES record for Pacific Northwest Dental, LLC was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Pacific Northwest Dental, Llc · NPI 1689292781
Dental organization in Beaverton, Oregon. Organization record, active in the CMS NPPES registry since July 6, 2020.
## Identity
- **NPI:** 1689292781 (Entity type: Organization)
- **Enumerated:** July 6, 2020
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Also known as:** Pacific NW Dental (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ryan Bradley, OWNER
## Practice location
- **Address:** 12725 SW 2ND ST, Beaverton, OR 97005-2708
- **Phone:** (503) 644-1953
## Record status
- **NPPES last updated:** July 6, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1689292781) · Data from the CMS NPPES public registry.