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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMY NICOLE LACOSTE, DMD

Active Sole Proprietor

AMY NICOLE LACOSTE, DMD is a Periodontology healthcare provider located in TIGARD, Oregon. NPI 1518699263 is currently active in the NPPES registry. Verify at CMS.

Periodontology · TIGARD, OR

Registration Details

NPI Number
1518699263
Provider Type
Individual
Gender
Female
NPI Issued
Jun 29, 2022 (4.0853568957568 yrs)
Last Updated
Aug 20, 2025
Licenses
D11898 (OR)
D11898 (OR)
Sole Proprietor
Yes

Practice Information

Address
12025 SW 70TH AVE
TIGARD, OR, 972239634
Browse OR providers · Browse ZIP 97223
Phone
5037657965
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology

Other Periodontology Providers in TIGARD, OR

Name Credential NPI
CYNTHIA A. LAYPORT D.M.D. 1104825942
DR. SUNIL DEV THANIK DMD MSD 1649250317
DR. BHARATHI DEVI MYNENI BDS 1689737785
DR. BRADLEY MCALLISTER DDS,PHD 1922387240
DR. KRISTA LOWEN DDS, MSD 1487918793
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.