Peterson Periodontics & Implantology Llc

LBN: Peterson Periodontics & Implantology Llc
Peterson Periodontics & Implantology Llc is an health care organization with primary practice located at 5528 Se Powell Blvd , Portland OR 97206-2956. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Peterson Periodontics & Implantology Llc can be contacted via phone (503) 788-1008, or through Peterson, Andrew Gregory via phone (406) 861-8844.

Contact Information

Primary practice address
5528 Se Powell Blvd Portland OR 97206-2956
Phone: (503) 788-1008
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Andrew Gregory DMD, MS
Phone: (406) 861-8844

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X D9905 Oregon

Profile Details

NPI number 1801310008
LBN Legal business name Peterson Periodontics & Implantology Llc
DBA Doing business as
Authorized official Peterson, Andrew Gregory DMD, MS
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2017
Last updated Jul 29th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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