1. Home
  2. Directory
  3. Oregon
  4. Beaverton
  5. Preferred Provider Organization
  6. NPI Profile

WILLETTEDENTAL
NPI 1710317482
Preferred Provider Organization in Beaverton, OR

Active since November 17, 2013
4925 SW GRIFFITH DR, BEAVERTON, OR 97005(916) 899-9665 Get Directions Write a Review

NPPES record last updated: November 17, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willettedental NPPES

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

WILLETTEDENTAL (NPI 1710317482) is a healthcare organization registered as a preferred provider organization in Beaverton, Oregon and active in the NPI registry since November 2013. The organization lists Peggy Clifton, Dental Hygienist, as its authorized official.

NPPES Registry Identity

NPI1710317482
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameWILLETTEDENTAL
Location Address4925 SW GRIFFITH DRBeaverton, OR 97005-2923
Mailing AddressPo Box 2000Beaverton, OR 97075-2000
Phone(916) 899-9665
Organization SubpartNo
Authorized OfficialPeggy CliftonDental Hygienist · (916) 899-9665
Enumeration DateNovember 17, 2013
✔ NPI 1710317482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in OR · H5544
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
4925 SW GRIFFITH DR, Beaverton, OR 97005
Open in Google Maps ↗

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.

DR. CATHERINE BOM KIM D.M.D.
Dentist
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Washington County (855) 433-6825
DR. JONATHAN JUYUN KIM DDS
Dentist (General Practice)
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Washington County (855) 433-6825
DR. ESTRELLITA GITZEN RAMIREZ D.M.D.
Dentist
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Washington County (855) 433-6825
DR. MEREDITH LEIGH DUGONI D.M.D., M.S.D
Dentist
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Washington County (855) 433-6825
MISS CHRISTINA LEE WILSON RDH,BSDH
Dental Hygienist
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Washington County (503) 277-2014
WILLAMETTE DENTAL
Health Maintenance Organization
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Washington County (855) 433-6825
AVALON SPANGLER
Dental Hygienist
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Washington County (855) 433-6825
DR. WILLIAM F TAINTER D.M.D.
Dentist (General Practice)
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Washington County (503) 277-2014

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 Willettedental's NPI number?

The NPI number for Willettedental is 1710317482. It was assigned to this organization in the NPPES registry on November 17, 2013.

Where is Willettedental located?

Willettedental is located at 4925 SW Griffith Dr, Beaverton, OR 97005. The listed phone number is (916) 899-9665.

What is Willettedental's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Willettedental was last updated on November 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.