Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDACE L PETERSON, DMD
Deactivated Sole ProprietorCANDACE L PETERSON, DMD is a General Dentistry healthcare provider located in TUALATIN, Oregon. NPI 1780682526 is deactivated in the NPPES registry. Verify at CMS.
General Dentistry · TUALATIN, OR
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1780682526
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2005 (0.67671232876712 yrs)
- Last Updated
- Mar 4, 2015
- Deactivated
- Mar 17, 2006
- License
-
6101 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18795 SW BOONES FERRY RDTUALATIN, OR, 970628412Browse OR providers · Browse ZIP 97062
- Phone
- 5036919046
- Fax
- 5036927229
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in TUALATIN, OR
| Name | Credential | NPI |
|---|---|---|
| PARI SAMANI | D.M.D. | 1144228602 |
| FRED FISCHER | D.M.D. | 1073511549 |
| DR. JUN XIAO | DDS | 1245231075 |
| DR. IAN PHAM | DMD | 1710947494 |
| DR. WILLIAM JORDAN | D.M.D., F.A.G.D. | 1366474678 |
| RICK A EVANS | DDS | 1386758845 |
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.