Pefect Smiles Dental, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

D7480 Issued in OR

Legal business name

PEFECT SMILES DENTAL, LLC

Practice address

17435 SW Farmington Rd Ste D
Beaverton, OR 97007-3234

Phone

(503) 649-1700

Fax

(503) 649-1712

NPI assigned

Apr 11, 2012

Last updated

Apr 11, 2012By 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

Dr. Katherine Nguyen, D.M.D, FAGDNPI 1093906596

Title

Dentist

Phone

(503) 649-1700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Katherine Tham Nguyen

  • General Practice Dentistry
  • Beaverton, OR
  • NPI 1093906596
  NPD Authorized official

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1891052122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17435 SW FARMINGTON RD STE D",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970073234",
            "telephone_number": "503-649-1700",
            "fax_number": "503-649-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17435 SW FARMINGTON RD STE D",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970073234",
            "telephone_number": "503-649-1700",
            "fax_number": "503-649-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEFECT SMILES DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-649-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D, FAGD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OR",
            "license": "D7480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Peddicord, MA, CCC-SLP
• Hanna V Pedego, DPT
• Pediatric Associates of the Northwest, PC
• Pediatric Associates of the Northwest, PC
• Angela Peene
• Andrew Mark Peil, PHARMD
• Beyhan Pekiner
• Oliver Lee Pelayo, MSN, RN
• Sandra Jane Pelham-Foster, OTD, MPHA, OTR/L
• Mary Gail Pellicciotti, M.D.

• Preferred Provider Organization in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Preferred Provider Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.