NPI 1215598263 · live from the CMS NPI Registry
Anthony M El Youssef DMD PC
Dentist in Portland, OR. National Provider Identifier 1215598263, active.
NPI record
| NPI | 1215598263 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 3740 Se 122nd Ave, Portland, OR 97236 |
| Practice phone | 503-762-2525 |
| Enumerated | June 20, 2019 |
| Last updated | June 20, 2019 |
| Authorized official | Anthony El Youssef, Owner/Dentist |
| Other names | Mountainside Family Dentistry |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.