Amy Nicole Lacoste is a Tigard, Oregon based Dentist who is specialized in
Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Amy Nicole Lacoste is
D11898 for Periodontology in Oregon. Her current practice location is
12025 Sw 70th Ave, Tigard. Patients can reach her at
503-765-7965.
Amy Nicole Lacoste is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Amy Nicole Lacoste speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Amy Nicole Lacoste |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 12025 Sw 70th Ave, Tigard,
Oregon, 97223-9634 |
| Phone: | 503-765-7965 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1518699263 |
| NPI Enumeration Date: | 29 Jun, 2022 |
| NPI Last Update On: | 20 Aug, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Amy Nicole Lacoste are as mentioned below.
| License Number | Specialization | State | Status | |
| D11898 | Periodontology | Oregon | Primary | |
| D11898 | Dentistry | Oregon | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12705 Sw Trask St,
Beaverton, Oregon |
| Zip: | 97007-3024 |
| Phone Number: | 916-532-2690 |
Patients can reach Amy Nicole Lacoste at
12025 Sw 70th Ave, Tigard, Oregon or can
call to book an appointment on 503-765-7965.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.