Zola Dental Raleigh Park LLC, Dr. Anthony Paventy DMD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ZOLA DENTAL RALEIGH PARK LLC, DR. ANTHONY PAVENTY DMD

Practice address

8568 SW Apple Way
Portland, OR 97225-1772

Phone

(503) 292-6773

Fax

(503) 292-6773

NPI assigned

Nov 2, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Cristina Waterman, DDS

Title

Associate Dentist

Phone

(503) 292-6773

Specialties & licenses 1

Addresses

Other names 1

• Cloud Nine Dental at Raleigh Park Doing business as

Locations

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1891450185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8568 SW APPLE WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251772",
            "telephone_number": "503-292-6773",
            "fax_number": "503-292-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8568 SW APPLE WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251772",
            "telephone_number": "503-292-6773",
            "fax_number": "503-292-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOLA DENTAL RALEIGH PARK LLC, DR. ANTHONY PAVENTY DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "ASSOCIATE DENTIST",
        "authorized_official_telephone_number": "503-292-6773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cloud Nine Dental at Raleigh Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Zochowski
• Keely Bittersweet Zodrow-Novak, DPT
• Garrett Keith Zoeller, M.D.
• Kennda Zoffka, PHARMD
• Antoine Zogbi, PHARMD
• Fran Zoldyck
• Sharman Marschelle Zollbrecht, OTR/L
• Jonathan Zonana, MD
• Jason Charles Zontanos, MA, LPC
• Arabella Zook, LPN

• Dental Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.