Peterson Periodontics & Implantology LLC
NPI 1801310008ActiveOrganization· Dentist, Periodontics· Portland, OR
Dentist, Periodontics in Portland, Oregon, registered in NPPES in July 2017. The authorized official on file is Andrew Gregory Peterson, DMD, MS, Periodontist, Member Of Llc.
Overview
| NPI | 1801310008 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2017 |
| Last updated in NPPES | Jul 29, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | D9905 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
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