MIKHAIL GARIBOV


Address: 17895 Nw Evergreen Pkwy Ste 130, Beaverton, OR 97006-7402
Phone: (503) 352-0203

MIKHAIL GARIBOV (NPI# 1376944314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376944314
Entity Type Individual
Full Name MIKHAIL GARIBOV
Credential DDS, MSD
Practice Address 17895 Nw Evergreen Pkwy Ste 130
Beaverton
OR 97006-7402
Practice Telephone (503) 352-0203
Mailing Telephone (503) 352-0203
Enumeration Date 2014-09-09
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
D10606 OR Dental Providers
N 1223P0300X Dentist
Specialization: Periodontics
DE60464667 WA Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
620 12th St Se, Salem, OR 973014001 5039915921

Office Location

Street Address 17895 NW EVERGREEN PKWY STE 130
City BEAVERTON
State OR
Zip Code 97006-7402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205447786 Sleep Health Partners LLC Clinic/Center 17895 Nw Evergreen Pkwy Ste 130, Beaverton, OR 97006-7402 2020-08-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184238727 Hayden Alexander Meriwether Dentist 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 2020-09-01
1336781202 Courtney Rae Murata Behavior Technician 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 2019-10-11
1992355986 Pamela J. Viado Technician 1220 Nw Weybridge Way, Beaverton, OR 97006 2019-09-12
1477115384 One Change Group Community/Behavioral Health 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 2019-07-01
1649731332 Regina C. Rizo Social Worker 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 2019-03-26
1043731912 Elizabeth A Cintron Occupational Therapy Assistant 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 2017-06-30
1265979173 Lindsay Jensen Massage Therapist 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 2017-01-30
1851835722 Changepoint, Inc Clinic/Center 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 2016-12-13
1689126302 Occupational Health Centers of The Southwest, P.a. (tx) Clinic/Center 2225 Nw Towncenter Drive, Beaverton, OR 97006 2016-10-28
1558717413 Dillon Duvall Physical Therapist 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 2016-05-10
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750300687 Samuel Gottlieb Dentist 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97006-4443 2006-07-19
1336419787 Beaverton Periodontics Dentist 14500 Sw Murray Scholls Dr, Suite #101, Beaverton, OR 97007-9277 2012-01-03
1174646129 Perio Aesthetics & Implantology Dentist 15455 Nw Greenbrier Pkwy, Suite 235, Beaverton, OR 97006-7374 2007-04-06
1174668156 Dennis Gene Perala Dentist 8070 Sw Hall Blvd, #200, Beaverton, OR 97008-6419 2007-02-20
1700846896 Duy Anh Tran Dentist 14780 Sw Osprey Dr, Suite 240 A, Beaverton, OR 97007-8028 2006-03-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871026062 Leila Soltani Dentist 430 Sw 13th Ave Apt 2010, Portland, OR 97205 2017-04-05
1427504828 Shashank Joshi Dentist 1739 W Harvard Ave, Roseburg, OR 97471-2716 2016-08-26
1982056479 Mari Heslinga Dentist 21332 Sw Langer Farms Pkwy Ste 126, Sherwood, OR 97140 2016-07-07
1548671340 Polaris Dental Specialists Dentist 620 12th Street Se, Salem, OR 97301 2014-05-14
1295159986 Andrew N Dow Dmd PC Dentist 4750 Village Plaza Loop Ste 102, Eugene, OR 97401-6601 2014-02-14
1043581465 Riverplace Periodontics PC Dentist 2636 Se Harrison Street, Suite A, Milwaukie, OR 97222 2012-01-17
1730472986 Wilson D Lee Dentist 315 Nw Lost Springs Ter, #401, Portland, OR 97229-6444 2011-05-20
1184954422 Kamran Haghighat Bds Ms PC Dentist 833 Sw 11th Ave Ste 1020, Portland, OR 97205-2124 2010-01-08
1467683276 Sunny L Drake Dentist 2235 Mission St Se Ste 250, Salem, OR 97302-1294 2009-07-29
1255574778 Steven David Apfelbaum Dentist 1201 Nw Wall St., Suite 102, Bend, OR 97701 2009-04-14
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Competitor

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City BEAVERTON
Zip Code 97006

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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