Healthcare Provider Details

I. General information

NPI: 1558202044
Provider Name (Legal Business Name): ALOHA DENTAL SPECIALTY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18455 SW ALEXANDER ST STE B
BEAVERTON OR
97003-3967
US

IV. Provider business mailing address

4550 SW BETTS AVE
BEAVERTON OR
97005-2869
US

V. Phone/Fax

Practice location:
  • Phone: 503-922-1166
  • Fax:
Mailing address:
  • Phone: 830-200-0085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. MERAT B OSTOVAR
Title or Position: DENTIST
Credential: DMD
Phone: 830-200-0085