Individual provider · Type 1 NPI

Ken Wayne Waddell, DMD

General Practice Dentistry · Portland, OR

NPI number 1134239155 Active

Practice location

15495 SW Sequoia Pkwy, Suite 120
Portland, OR 97224-6100

Call (503) 684-8445 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD5796 (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.

5 other providers at this address

Other general practice dentistry providers in Portland

See all in Portland →

About NPI 1134239155

Ken Wayne Waddell, DMD's National Provider Identifier is 1134239155, issued on Aug 30, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.