TUALATIN MODERN DENTISTRYPC NPI 1437499852

NPI Information

  • NPI: 1437499852
  • Provider Name: TUALATIN MODERN DENTISTRY,PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: TUALATIN MODERN DENTISTRY
  • Address: 7017 SW NYBERG STREET
    TUALATIN, OR
    ZIP 97062
  • Phone: (503) 612-8736

Map and Directions

Get Directions

NPI Details

TUALATIN MODERN DENTISTRY,PC is a general practice dentist in Tualatin, 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. TUALATIN MODERN DENTISTRY,PC NPI is 1437499852. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tualatin Modern Dentistry.

The provider's business location address is:

7017 SW NYBERG STREET
TUALATIN, OR
ZIP 97062
Phone: (503) 612-8736
Fax: (503) 612-8737

The provider's authorized official is Krista Mattson .
The authorized official title is Owner and has the following contact phone number (503) 612-8736.

The enumeration date for this NPI number is 2/21/2013 and was last updated on 3/9/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.