| Perio Aesthetics & Implantology | |
|
15455 Nw Greenbrier Pkwy Suite 235 Beaverton OR 97006-7374 | |
| (503) 645-3333 | |
| (503) 645-1760 |
| Full Name | Perio Aesthetics & Implantology |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 15455 Nw Greenbrier Pkwy, Beaverton, Oregon |
| Authorized Official Name and Position | Alexis K Mcclain (FRONT OFFICE COORDINATOR) |
| Authorized Official Contact | 5036453333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perio Aesthetics & Implantology 15455 Nw Greenbrier Pkwy Suite 235 Beaverton OR 97006-7374 Ph: (503) 645-3333 | Perio Aesthetics & Implantology 15455 Nw Greenbrier Pkwy Suite 235 Beaverton OR 97006-7374 Ph: (503) 645-3333 |
| NPI Number | 1174646129 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174646129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | D8051 (Oregon) | Primary |
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