DR. SAMUEL GOTTLIEB D.D.S.
NPI 1750300687
Dentist - Periodontics in Beaverton, OR

Active since July 19, 2006
17675 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97006(503) 259-3160 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Samuel Gottlieb D.d.s. NPPES

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

DR. SAMUEL GOTTLIEB D.D.S. (NPI 1750300687) is an individual periodontics provider in Beaverton, Oregon, licensed in Oregon (D7245) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1750300687
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. SAMUEL GOTTLIEBCredential: D.D.S.
Location Address17675 SW TUALATIN VALLEY HWYBeaverton, OR 97006-4443
Mailing Address12401 Shelby CtLake Oswego, OR 97035-1102 · (503) 245-0384
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1750300687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in OR · D7245
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.
17675 SW TUALATIN VALLEY HWY, Beaverton, OR 97006

Other Providers at the Same Location NPPES 16

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

Dental Hygienist
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Dental Hygienist
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Dentist (Pediatric Dentistry)
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Dental Assistant
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Dental Hygienist
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Dental Hygienist
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Dental Assistant
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Dentist (General Practice)
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006

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 Samuel Gottlieb's NPI number?

The NPI number for Samuel Gottlieb is 1750300687. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Samuel Gottlieb located?

Samuel Gottlieb practices at 17675 SW Tualatin Valley Hwy, Beaverton, OR 97006. The listed phone number is (503) 259-3160.

What is Samuel Gottlieb'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 Samuel Gottlieb was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.