NPI 1598854929 · live from the CMS NPI Registry
Dmitri Vladislavovich Aleksandrov, DMD
Dentist, General Practice in Gresham, OR. National Provider Identifier 1598854929, active.
NPI record
| NPI | 1598854929 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 600 Ne 8th St Ste 210, Gresham, OR 97030 |
| Practice phone | 503-988-4900 |
| Mailing address | 1717 Sw Park Ave Apt 505, Portland, OR 97201 |
| Enumerated | October 12, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | D8451 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.