Individual provider · Type 1 NPI
Tesha Lynn Waggoner, DMD
Pediatric Dentistry · Hillsboro, OR
NPI number
1821403924
Active
Practice location
150 SE 3rd Ave
Hillsboro, OR 97123
Fax (503) 213-1258
Mailing address
14201 NE 20th Ave Ste B200
Vancouver, WA 98686-6412
Other practice locations
- 1301 Punchbowl St, Honolulu, HI 96813-2402 · (808) 691-4292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DTT 242 (HI) |
| Pediatric Dentistry Primary | 1223P0221X | D10820 (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.
6 other providers at this address
- Anne Purcell, DMDPediatric Dentistry Hillsboro, OR NPI 1851824460
- Hessam Rikhtehgar Berenji, LDDenturist Hillsboro, OR NPI 1699524629
- Nathan Risley, D.M.DPediatric Dentistry Hillsboro, OR NPI 1780099713
- Oveyseh Shaban, DMDDentist Hillsboro, OR NPI 1467375618
- Thi Pham, RDHDental Hygienist Hillsboro, OR NPI 1245059823
- Wasan M. AlabbasiDental Hygienist Hillsboro, OR NPI 1437955671
Other pediatric dentistry providers in Hillsboro
- Thanakorn BakerPediatric Dentistry Hillsboro, OR NPI 1053064451
- Carolyn Ann Muckerheide, DDSPediatric Dentistry Hillsboro, OR NPI 1073607115
- Hai Thanh Pham, DMDPediatric Dentistry Hillsboro, OR NPI 1154526325
- Lester Clayton Laraway, DDSPediatric Dentistry Hillsboro, OR NPI 1437264538
- Edward Peer Pham, DMDPediatric Dentistry Hillsboro, OR NPI 1518608603
- Nathan Risley, D.M.DPediatric Dentistry Hillsboro, OR NPI 1780099713
- Anne Purcell, DMDPediatric Dentistry Hillsboro, OR NPI 1851824460
About NPI 1821403924
Tesha Lynn Waggoner, DMD's National Provider Identifier is 1821403924, issued on Jun 26, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Hillsboro, OR. The record was last updated on Aug 27, 2018.