Organization · Type 2 NPI

West Tabor Dental LLC

General Practice Dentistry · Portland, OR

NPI number 1629936679 Active

Practice location

5043 SE Hawthorne Blvd
Portland, OR 97215-3255

Call (503) 232-8847 Map

Fax (503) 232-6890

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

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 1629936679

West Tabor Dental LLC's National Provider Identifier is 1629936679, issued on Jan 9, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Jan 12, 2026.