Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Impact Sleep Dentistry

Organization Dentist · NPI 1215683503

Impact Sleep Dentistry is a Dentist in Beaverton, Oregon. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3415 SW 187th Ave
Beaverton, OR 97003-3106
Phone: (503) 649-3101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1215683503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melika Kashkouli — Owner · (503) 679-5072
NPI enumeratedFebruary 24, 2022
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022
Mailing address17455 Sw Hoodoo Ct, Beaverton, OR 97007-7702

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