Pacific Dental Institute in Portland - Prosthodontics
Pacific Dental Institute - NPI 1619180007
Pacific Dental Institute is a Prosthodontics in Portland, Oregon. Pacific Dental Institute practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Pacific Dental Institute is 1619180007. The last update date is 2020-08-22.
Pacific Dental Institute's current location address is 12750 Sw 68th Avenue, Portland, Oregon. You can contact this provider via phone number 5036395136 and fax number 5036200187. The mailing address for Pacific Dental Institute is 12750 Sw 68th Avenue, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacific Dental Institute |
|---|---|
| Address | 12750 Sw 68th Avenue, Portland, Oregon |
| Phone Number | 5036395136 |
| Fax Number | 5036200187 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Sorensen A John |
| Credentials | D.M.D., PH |
| Telephone Number | 5036395136 |
NPI Number Detail
| NPI Number | 1619180007 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 12750 Sw 68th Avenue |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97223 |
| Phone Number | 5036395136 |
| Fax Number | 5036200187 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | D7165 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pacific Dental Institute by the Centers for Medicare & Medicaid Services?
The Pacific Dental Institute has been issued the NPI (National Provider Identifier) 1619180007 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Pacific Dental Institute is physically located?
The Pacific Dental Institute is physically situated at the following address: 12750 Sw 68Th Avenue, Portland, OR, 97223.
What is Pacific Dental Institute's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pacific Dental Institute is Prosthodontics, and the taxonomy code that categorizes this field of expertise is 1223P0700X.
When did the Pacific Dental Institute receive its 1619180007?
The Pacific Dental Institute was issued its 1619180007 on 2007-05-08, which is the date when the organization was assigned this unique identifier.
As of what date were the Pacific Dental Institute's details last updated?
The information pertaining to the Pacific Dental Institute, including its address, specialty, and other details, was most recently updated on 2020-08-22.