1. Home
  2. Directory
  3. Oregon
  4. Lake Oswego
  5. Dentist
  6. NPI Profile

DR. WALIED ELDOMIATY DDS
NPI 1881256766
Dentist in Lake Oswego, OR

Active since July 01, 2019
4055 MERCANTILE DR APT 374, LAKE OSWEGO, OR 97035(202) 285-8313 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2023, Jul 1, 2019 (2 updates tracked since 2019).

About Dr. Walied Eldomiaty Dds NPPES

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

DR. WALIED ELDOMIATY DDS (NPI 1881256766) is an individual dentist in Lake Oswego, Oregon, licensed in Kentucky (9897) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1881256766
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. WALIED ELDOMIATYCredential: DDS
Location Address4055 MERCANTILE DR APT 374Lake Oswego, OR 97035-2633
Mailing Address4055 Mercantile Dr Apt 374Lake Oswego, OR 97035-2633 · (202) 285-8313
Phone(202) 285-8313
Sole ProprietorYes
Enumeration DateJuly 1, 2019
Last NPPES UpdateApril 10, 20232 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
✔ NPI 1881256766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in KY · 9897
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License D11696 (OR)
4055 MERCANTILE DR APT 374, Lake Oswego, OR 97035
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Walied Eldomiaty's NPI number?

The NPI number for Walied Eldomiaty is 1881256766. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Where is Walied Eldomiaty located?

Walied Eldomiaty practices at 4055 Mercantile Dr Apt 374, Lake Oswego, OR 97035. The listed phone number is (202) 285-8313.

What is Walied Eldomiaty's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Walied Eldomiaty accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Walied Eldomiaty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walied Eldomiaty was last updated on April 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.