DAVID A. GOLDWYN DDS PC NPI 1972666956

NPI Information

  • NPI: 1972666956
  • Provider Name: DAVID A. GOLDWYN, DDS, PC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Doing Business As: PORTLAND PERIODONTICS
  • Address: 2350 SW MULTNOMAH BLVD
    PORTLAND, OR
    ZIP 97219
  • Phone: (503) 245-0180

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NPI Details

DAVID A. GOLDWYN, DDS, PC 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. DAVID A. GOLDWYN, DDS, PC NPI is 1972666956. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Portland Periodontics.

The provider's business location address is:

2350 SW MULTNOMAH BLVD
PORTLAND, OR
ZIP 97219-999
Phone: (503) 245-0180
Fax: (503) 452-3634

The provider's authorized official is David A Goldwyn .
The authorized official title is Periodontist and has the following contact phone number (503) 245-0180.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 8/22/2020.

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
11223P0300XDentistPeriodonticsD8010OREGONYes

What is NPI?

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This page was last updated on: 3/30/2025

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