Mark Daniel Alder, DMD

Individual provider Active NPI General Practice Dentistry · Beaverton, OR

NPI 1013909688 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1013909688
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
D5658 (OR)
Practice address
5050 SW Griffith Dr
Beaverton, OR 97005-2932
Phone
(503) 641-9010
Fax
(503) 641-7660
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
D5658ORMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D5658 OR Yes

Addresses

Primary practice location

5050 SW Griffith Dr
Beaverton, OR 97005-2932

Mailing address

5050 SW Griffith Dr
Beaverton, OR 97005-2932
Phone (503) 641-9010

Other providers in Beaverton, OR

All providers in Beaverton, OR · General Practice Dentistry in Oregon

Sources for this page

Verify at the official NPI Registry.