Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881256766 Individual Practitioner Male Practitioner

Dr. Walied Eldomiaty , DDS

Dentist • Lake Oswego, OR

Professional Overview & Biography Verified Profile Summary

Dr. Walied Eldomiaty, DDS is a registered healthcare professional specializing in Dentist in Lake Oswego, OR. Practice services are available at 4055 MERCANTILE DR APT 374 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4055 Mercantile Dr Apt 374

Lake Oswego, OR 970352633

Telephone 2022858313

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lake Oswego, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
15 Specialists

Practicing in Lake Oswego, OR (1289 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

CMS Verified: 2023-04-10
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License KY 9897

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - Periodontics

NUCC Taxonomy Code: 1223P0300X

State License OR D11696

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.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 10, 2023

Registered at 4055 MERCANTILE DR APT 374, LAKE OSWEGO, OR 970352633 (Tel: 2022858313)

📍
Updated Business Mailing Address April 10, 2023

Registered at 4055 MERCANTILE DR APT 374, LAKE OSWEGO, OR 970352633 (Tel: 2022858313)

👤
Provider Name / Credentials Updated April 10, 2023

Recorded as WALIED ELDOMIATY, DDS

NPI Profile Active July 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2019

Registered at 800 ROSE ST BLDG 4, LEXINGTON, KY 405364643 (Tel: 2022858313)

📍
Updated Business Mailing Address July 01, 2019

Registered at 2151 MEETING ST APT 3110, LEXINGTON, KY 405094643 (Tel: 2022858313)

👤
Provider Name / Credentials Updated July 01, 2019

Recorded as WALIED ELDOMIATY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2019

Dentist (License #9897 in KY)

🟢
Initial NPI Registration & Enumeration July 01, 2019

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: 1881256766
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2019
Last Update: April 10, 2023
Sole Proprietor: Yes

Mailing Address

4055 Mercantile Dr Apt 374

Lake Oswego, OR 970352633

Phone: 2022858313

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.