Perala, Dennis Gene
Perala, Dennis Gene is an individual health care provider with primary practice located at 8070 Sw Hall Blvd #200, Beaverton OR 97008-6419. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Perala, Dennis Gene can be contacted via phone (503) 644-1110.Contact Information
Primary practice address
8070 Sw Hall Blvd #200
Beaverton OR 97008-6419
Phone: (503) 644-1110
Fax: (503) 641-6431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | D6715 | Oregon |
| Dental Providers / Periodontics | 1223P0300X | D8616 | Washington |
Profile Details
| NPI number | 1174668156 |
|---|---|
| LBN Legal business name | Perala, Dennis Gene |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Feb 14th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174668156 | NPPES |
| Oregon | MEDICAID | 134580 | |
| Oregon | MEDICAID | 5036165 | |
| Oregon | Other | 0141506 | |
| Oregon | Other | 8932837 |
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