Individual provider · Type 1 NPI

Jennifer Dole, DMD

Pediatric Dentistry · Portland, OR

NPI number 1780064485 Active

Practice location

2534 SW Ravensview Dr
Portland, OR 97201-1756

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD10654 (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 1780064485

Jennifer Dole, DMD's National Provider Identifier is 1780064485, issued on Jun 8, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Portland, OR. The record was last updated on Sep 4, 2024.