Healthcare Provider Details

I. General information

NPI: 1295627214
Provider Name (Legal Business Name): AIRWAY DENTAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 SE 91ST AVE STE 140
HAPPY VALLEY OR
97086-3760
US

IV. Provider business mailing address

9370 SW GREENBURG RD STE 422
PORTLAND OR
97223-5427
US

V. Phone/Fax

Practice location:
  • Phone: 503-716-6712
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. ALAMIN KARIM
Title or Position: OWNER
Credential: DDS
Phone: 971-339-0816