Daniel Petrisor

DMD, MD | Dentist



  
  3181 Sw Sam Jackson Park Rd, Portland
  Oregon, 97239-3011

  503-494-8916    503-494-6783 Maps & Directions
Daniel Petrisor is a Portland, Oregon based Dentist who is specialized in Dentist He completed his graduation from Other in He is also affiliated with hospitals like . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Daniel Petrisor is MD154906 in Oregon. His current practice location is 3181 Sw Sam Jackson Park Rd, Portland. Patients can reach him at 503-494-8916.

Daniel Petrisor is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Daniel Petrisor 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: Daniel Petrisor
Specialization: Dentist
Gender:Male
Credentials: DMD, MD
Medical School Attended:Other
Accepts Medicare Assignment:Yes
Practice Address:3181 Sw Sam Jackson Park Rd, Portland,
Oregon, 97239-3011
Phone:503-494-8916
Fax:503-494-6783
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.
PAC ID: 1355465576
Enrollment ID: I20111026000020
NPI Number: 1235332834
NPI Enumeration Date: 09 Jun, 2007
NPI Last Update On: 16 Jul, 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 Daniel Petrisor are as mentioned below.
License NumberSpecializationStateStatus
MD154906 OregonPrimary
D9059Oral and Maxillofacial Surgery OregonSecondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(380009)Portland, ORAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Daniel Petrisor is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Oregon Health And Sciences University/university Medical Group (4880760107)1328
Other Medical Identifiers:
Other legacy medical identifiers associated with Daniel Petrisor such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
148H9OtherFloridaBCBS FL
0022923-00MedicaidFlorida
500651136MedicaidOregon
500654224MedicaidOregon
BP1-0026540OtherINSTITUTIONAL PERMIT
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 3181 Sw Sam Jackson Park Rd,
Portland, Oregon
Zip: 97239-3011
Phone Number: 503-494-8916
Fax Number: 503-494-6783
Patients can reach Daniel Petrisor at 3181 Sw Sam Jackson Park Rd, Portland, Oregon or can call to book an appointment on 503-494-8916.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.