Individual provider · Type 1 NPI

Anastacia M. Whitman, DMD

Pediatric Dentistry · Portland, OR

NPI number 1972639623 Active

Practice location

4548 N Albina Ave
Portland, OR 97217-3010

Call (503) 626-9711 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X10970 (WA)
Pediatric Dentistry Primary 1223P0221XD8950 (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 1972639623

Anastacia M. Whitman, DMD's National Provider Identifier is 1972639623, issued on Feb 26, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Portland, OR. The record was last updated on Feb 10, 2016.