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Active NPI 1720197429 Individual Practitioner Male Practitioner

Dr. Frederick J Ganji , DDS

Dentist - General Practice • Beaverton, OR

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Ganji, DDS is a registered healthcare professional specializing in Dentist - General Practice in Beaverton, OR. Practice services are available at 16755 SW BASELINE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16755 Sw Baseline Rd
Suite 106

Beaverton, OR 970064241

Telephone 5035334001
Fax 5035334116
Associated Practice Facility / Clinic
🏢 Perledent Dental Care, Pc Facility NPI 1255704813

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
91 Specialists

Practicing in Beaverton, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00010130

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5048426 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Tanya Kornuta , RDH

Dental Hygienist

NPI 1720469240

Registered Dental Hygienist

Dr. Kyle Van , DDS

Dentist - General Practice

NPI 1770570251

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 06, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2009

Registered at 16755 SW BASELINE RD, SUITE 106, BEAVERTON, OR 970064241 (Tel: 5035334001)

📍
Updated Business Mailing Address April 06, 2009

Registered at 16755 SW BASELINE RD, SUITE 106, BEAVERTON, OR 970064241 (Tel: 5035334001)

👤
Provider Name / Credentials Updated April 06, 2009

Recorded as FREDERICK GANJI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2009

Dentist (License #DE00010130 in WA)

🟢
Initial NPI Registration & Enumeration August 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720197429
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2006
Last Update: April 06, 2009
Sole Proprietor: No

Mailing Address

16755 Sw Baseline Rd, Suite 106

Beaverton, OR 970064241

Phone: 5035334001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.