Individual provider · Type 1 NPI

Serena Autumn Waterworth-West, DMD

General Practice Dentistry · Gresham, OR

NPI number 1043057334 Active

Practice location

387 NE 223rd Ave
Gresham, OR 97030-8554

Call (503) 491-5450 Map

Mailing address

1268 NE 186th Dr
Portland, OR 97230-7127

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD12035 (OR)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1043057334

Serena Autumn Waterworth-West, DMD's National Provider Identifier is 1043057334, issued on Jul 12, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Gresham, OR. The record was last updated on May 12, 2026.