MATT HOIDAL DDS MS PC NPI 1588809974

NPI Information

  • NPI: 1588809974
  • Provider Name: MATT HOIDAL, DDS, MS, PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Other Name: LAKE OSWEGO PERIODONTICS AND IMPLANT DENTISTRY
  • Address: 300 OSWEGO POINTE DR
    STE 106
    LAKE OSWEGO, OR
    ZIP 97034
  • Phone: (503) 635-3584

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NPI Details

MATT HOIDAL, DDS, MS, PC is a dental clinic center in Lake Oswego, OR. MATT HOIDAL, DDS, MS, PC NPI is 1588809974. The provider is registered as an organization entity type.
The provider Other Name Is Lake Oswego Periodontics And Implant Dentistry.

The provider's business location address is:

300 OSWEGO POINTE DR
STE 106
LAKE OSWEGO, OR
ZIP 97034-254
Phone: (503) 635-3584
Fax: (503) 635-6813

The provider's authorized official is Matt James Hoidal .
The authorized official title is President and has the following contact phone number (503) 635-3584.

The enumeration date for this NPI number is 12/13/2008 and was last updated on 9/26/2012.

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
1261QD0000XClinic/CenterDentalD9075OREGONYes

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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