Organization · Type 2 NPI

Pediatric Dentistry of Portland LLC

Pediatric Dentistry · Portland, OR

NPI number 1679924526 Active

Practice location

2811 NE Wasco St
Portland, OR 97232-1771

Call (503) 284-5678 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD6853 (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.

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About NPI 1679924526

Pediatric Dentistry of Portland LLC's National Provider Identifier is 1679924526, issued on Jun 22, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Portland, OR. The record was last updated on Jun 22, 2016.