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RYAN CARPENTER DMD PC NPI 1023559069


NPI Information

NPI: 1023559069
Provider Name: RYAN CARPENTER DMD PC

Doing Business As: POWELL VALLEY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2517 SE 179TH AVE
PORTLAND, OR
ZIP 97236
Phone: (503) 761-4001
Get Directions

RYAN CARPENTER DMD PC is a general practice dentist in Portland, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RYAN CARPENTER DMD PC NPI is 1023559069. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Powell Valley Dental.

The provider's business location address is:

2517 SE 179TH AVE
PORTLAND, OR
ZIP 97236-035
Phone: (503) 761-4001

The provider's authorized official is Ryan Wayne Carpenter .
The authorized official title is Owner/president and has the following contact phone number (503) 539-0595.

The enumeration date for this NPI number is 3/9/2017 and was last updated on 3/9/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD8618OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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