NPI 1730209412 · live from the CMS NPI Registry
Bill Alti, D.M.D.
Dentist, General Practice in Beaverton, OR. National Provider Identifier 1730209412, active.
NPI record
| NPI | 1730209412 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 16155 Nw Cornell Rd, Suite 450, Beaverton, OR 97006 |
| Practice phone | 503-629-5300 |
| Mailing address | 1101 Se Tech Center Dr, Suite 195, Vancouver, WA 98683 |
| Enumerated | March 29, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | D8268 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.