Individual provider · Type 1 NPI

David Jacob Raphael, DDS

Pediatric Dentistry · Portland, OR

NPI number 1104142900 Active

Practice location

2323 NW Westover Rd
Portland, OR 97210-3524

Call (503) 893-2889 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XDE 60257230 (WA)
Pediatric Dentistry Primary 1223P0221XD9732 (OR)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2 other providers at this address

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About NPI 1104142900

David Jacob Raphael, DDS's National Provider Identifier is 1104142900, issued on Apr 19, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Portland, OR. The record was last updated on Oct 19, 2016.