BIOLOGIC DENTAL PC NPI 1982106407

NPI Information

  • NPI: 1982106407
  • Provider Name: BIOLOGIC DENTAL PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: SUMMIT DENTAL
  • Address: 973 NW SALTZMAN RD
    PORTLAND, OR
    ZIP 97229
  • Phone: (503) 644-7202

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NPI Details

BIOLOGIC DENTAL PC is a dental clinic center in Portland, OR. BIOLOGIC DENTAL PC NPI is 1982106407. The provider is registered as an organization entity type.
The provider Is Doing Business As Summit Dental.

The provider's business location address is:

973 NW SALTZMAN RD
PORTLAND, OR
ZIP 97229-647
Phone: (503) 644-7202

The provider's authorized official is Jeffrey Peter Dewey .
The authorized official title is President and has the following contact phone number (503) 265-9847.

The enumeration date for this NPI number is 2/28/2018 and was last updated on 6/16/2018.

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/CenterDentalD8706OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11851455935MEDICAIDOREGON

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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