Organization · Type 2 NPI

Pediatric Dental Group

Pediatric Dentistry · Portland, OR

NPI number 1972770097 Active

Practice location

5415 SW Westgate Dr, Suite 207
Portland, OR 97221-2409

Call (503) 292-9274 Map

Fax (503) 292-2337

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD7977 (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 1972770097

Pediatric Dental Group's National Provider Identifier is 1972770097, issued on May 8, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Portland, OR. The record was last updated on May 8, 2008.