PERIODONTAL CONCEPTS – Periodontics, NPI 1205041514

PERIODONTAL CONCEPTS is a healthcare provider. based in Vancouver, Washington. specializing in Periodontics. The organization holds a License No. DE7432 (WA). The NPI Number for PERIODONTAL CONCEPTS is 1205041514

Main info

Organization
Name
PERIODONTAL CONCEPTS
NPI
1205041514
Phone
(360) 254-8151
Address
300 SE 120TH AVE STE 500
Authorized Official
DR. MUNIB Y. DERHALLI PRESIDENT D.M.D.
Enumeration Date
11 May 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for PERIODONTAL CONCEPTS

  • 300 SE 120TH AVE STE 500

    VANCOUVER, WA 986834020

    Phone: (360) 254-8151

    Fax: (360) 254-7175

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98683)

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Reviews

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Frequently asked questions

What identifier follows PERIODONTAL CONCEPTS across health systems?
The NPI 1205041514 uniquely identifies PERIODONTAL CONCEPTS in U.S. healthcare data.
Is PERIODONTAL CONCEPTS currently accepting referrals based on NPI status?
Registry metadata lists PERIODONTAL CONCEPTS as active.
What services align with PERIODONTAL CONCEPTS's listing?
PERIODONTAL CONCEPTS's public classification highlights Periodontics. Clinical services aligned with this taxonomy classification.
Which community is linked to PERIODONTAL CONCEPTS?
PERIODONTAL CONCEPTS shows a connection to Vancouver, Washington in registry-derived data.
Can I export PERIODONTAL CONCEPTS's record?
You can download the official NPPES record; we summarize key fields for readability.

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