Individual provider · Type 1 NPI
Lisa S. Kispert, DDS
Pediatric Dentistry · Tualatin, OR
NPI number
1881894376
Active
Practice location
18803 SW Boones Ferry Rd Ste 5
Tualatin, OR 97062-8412
Fax (503) 612-6948
Mailing address
3605 Grant Dr
Reno, NV 89509-5301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | D9222 (OR) |
| Dentist | 122300000X | DE00011251 (WA) |
| Pediatric Dentistry Primary | 1223P0221X | D9222 (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.
Other pediatric dentistry providers in Tualatin
About NPI 1881894376
Lisa S. Kispert, DDS's National Provider Identifier is 1881894376, issued on Jul 23, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Tualatin, OR. The record was last updated on Feb 26, 2025.