All City Denture Clinic PC
NPI 1366755613ActiveOrganization· Dental Laboratory· Portland, OR
Dental Laboratory in Portland, Oregon, registered in NPPES in July 2010. The authorized official on file is Walter James Peterson, DT-DO, Employer.
Overview
| NPI | 1366755613 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2010 |
| Last updated in NPPES | Jul 15, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dental Laboratory Primary | 292200000X | DTDO949472 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dental Laboratory providers in Portland
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