PETERSON PERIODONTICS & IMPLANTOLOGY LLC is a periodontics dentist in Portland, OR. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PETERSON PERIODONTICS & IMPLANTOLOGY LLC NPI is 1801310008. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
5528 SE POWELL BLVD
PORTLAND, OR
ZIP 97206-956
Phone: (503) 788-1008
The provider's authorized official is Andrew Gregory Peterson .
The authorized official title is Periodontist, Member Of Llc and has the following contact phone number (406) 861-8844.
The enumeration date for this NPI number is 7/29/2017 and was last updated on 7/29/2017.