NPI 1912165093 · live from the CMS NPI Registry
Alder Dental Group
Dentist in Tigard, OR. National Provider Identifier 1912165093, active.
NPI record
| NPI | 1912165093 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 7110 Sw Hazelfern Rd, Suite 240, Tigard, OR 97224 |
| Practice phone | 503-431-3200 |
| Enumerated | May 27, 2008 |
| Last updated | May 27, 2008 |
| Authorized official | Kelly Miller, Practice Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | D6468 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.