Oswego Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6685 Issued in OR

Legal business name

OSWEGO DENTAL ASSOCIATES

Doing business as

Lake Oswego Dental Center

Practice address

9 Monroe Pkwy Ste C
Lake Oswego, OR 97035-8855

Phone

(503) 635-3431

Fax

(503) 635-2306

NPI assigned

Jul 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carrie Parson

Title

Office Manager

Phone

(503) 635-3431

Specialties & licenses 1

Addresses

Other names 1

• Lake Oswego Dental Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mackenzie E Douglas, D.M.D.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1639192693
  NPD (past)
• Hadi Nouredine, D.M.D.

  • General Practice Dentistry
  • Lake Oswego, OR
  • NPI 1235150459
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649293663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE C",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358855",
            "telephone_number": "503-635-3431",
            "fax_number": "503-635-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE C",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358855",
            "telephone_number": "503-635-3431",
            "fax_number": "503-635-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSWEGO DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARSON",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-635-3431"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Oswego Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orthodontic Specialists of Lake Oswego
• Orthopedic & Sports Medicine Center of Oregon LLC
• Paul Peter Ortner IV, DDS, CAGS
• Oslo Ortho, LLC
• Arthur Eric Ostergard, MD
• Oswego Medical LLC
• Oswego Optique Inc
• Oswego Progressive Medicine, LLC (dba Today Integrative Health and Wellness)
• Dana Goss Otto, LCSW, MPH
• Alyona Ovcharenko

• General Practice Dentistry in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.