Organization Active NPI

Dental Dynamics P. C.

  • General Practice Dentistry
  • Lake Oswego, OR
National Provider Identifier
1881731990
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6757 Issued in OR
Legal business name
DENTAL DYNAMICS P. C.
Practice address
16455 Boones Ferry Rd
Lake Oswego, OR 97035-4367
Phone
(503) 697-0884
Fax
(503) 697-6899
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mo SalehNPI 1295015014
Title
Owner
Phone
(503) 697-0884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D6757 OR Primary

Addresses

Primary practice location

16455 Boones Ferry Rd
Lake Oswego, OR 97035-4367

Mailing address

16455 Boones Ferry Rd
Lake Oswego, OR 97035-4367
Phone (503) 697-0884

National Provider Directory

National Provider Directory

Locations

16455 Boones Ferry Rd
Lake Oswego, OR 97035
Phone (503) 697-0884

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881731990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16455 BOONES FERRY RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354367",
            "telephone_number": "503-697-0884",
            "fax_number": "503-697-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 BOONES FERRY RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354367",
            "telephone_number": "503-697-0884",
            "fax_number": "503-697-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DYNAMICS P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALEH",
        "authorized_official_first_name": "MO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-697-0884"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • 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.