SANDY DENTAL CLINIC PC
NPI 1699818088
Dentist - General Practice in Beaverton, OR

Active since February 15, 2007
12520 SW 1ST ST, BEAVERTON, OR 97005(503) 646-5230(503) 626-1813 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandy Dental Clinic Pc NPPES

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

SANDY DENTAL CLINIC PC (NPI 1699818088) is a healthcare organization registered as a general practice in Beaverton, Oregon and active in the NPI registry since February 2007. The organization lists Khiet Minh Tran, President, as its authorized official.

NPPES Registry Identity

NPI1699818088
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSANDY DENTAL CLINIC PC
Location Address12520 SW 1ST STBeaverton, OR 97005-0550
Mailing Address12520 Sw 1st StBeaverton, OR 97005-0550 · (503) 646-5230 · Fax (503) 626-1813
Fax(503) 626-1813
Organization SubpartNo
Authorized OfficialKhiet Minh TranPresident · (503) 646-5230
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJune 26, 2015
NPI 1699818088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · D6709
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.
12520 SW 1ST ST, Beaverton, OR 97005

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Dentist (General Practice)
12520 SW 1ST ST
BEAVERTON, OR 97005
Dentist (General Practice)
12520 SW 1ST ST
BEAVERTON, OR 97005
Dentist (General Practice)
12520 SW 1ST ST
BEAVERTON, OR 97005
Dentist
12520 SW 1ST ST
BEAVERTON, OR 97005
Dentist (General Practice)
12520 SW 1ST ST
BEAVERTON, OR 97005
Dentist (General Practice)
12520 SW 1ST ST
BEAVERTON, OR 97005

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 Sandy Dental Clinic PC's NPI number?

The NPI number for Sandy Dental Clinic PC is 1699818088. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Sandy Dental Clinic PC located?

Sandy Dental Clinic PC is located at 12520 SW 1st St, Beaverton, OR 97005. The listed phone number is (503) 646-5230.

What is Sandy Dental Clinic 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 Sandy Dental Clinic PC was last updated on June 26, 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.