AMY NICOLE LACOSTE DMD NPI 1518699263

NPI Information

  • NPI: 1518699263
  • Provider Name: AMY NICOLE LACOSTE, DMD
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 12025 SW 70TH AVE
    TIGARD, OR
    ZIP 97223
  • Phone: (503) 765-7965

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NPI Details

Amy Nicole Lacoste, DMD is a periodontics dentist in Tigard, 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. Amy Nicole Lacoste, DMD NPI is 1518699263. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12025 SW 70TH AVE
TIGARD, OR
ZIP 97223-634
Phone: (503) 765-7965

The enumeration date for this NPI number is 6/29/2022 and was last updated on 8/20/2025.

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
1122300000XDentistD11898OREGONNo
21223P0300XDentistPeriodonticsD11898OREGONYes

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

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